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目的探讨手足口病并发神经系统损害的临床特征及治疗方法。方法总结分析2011-04-2011-07 53例手足口病并发神经系统损害患者的资料。结果 53例手足口病并发神经系统损害患儿,年龄11个月～4岁,53例均有皮疹、发热、易惊、肢体抖动,其中随机检测12例均为EV71感染,呕吐17例(30.07%);抽搐3例(5.66%),嗜睡27例(50.94%);末梢血白细胞升高43例(71.69%);经抗病毒对症治疗后均治愈。结论手足口病治疗过程中,患儿发热、肢体抖动、无力、易惊时,要高度怀疑手足口病并发神经系统损害,积极降颅压、静注丙种球蛋白及酌情使用激素治疗可防止病情加重,提高手足口病的治愈率。
Objective To investigate the clinical characteristics and treatment of hand-foot-mouth disease complicated with nervous system damage. Methods To summarize the data of 53 patients with HFMD complicated by nervous system damage. Results 53 cases of hand, foot and mouth disease complicated by nervous system damage in children, aged 11 months to 4 years old, 53 cases were rash, fever, easy to shock, limb jitter, including 12 cases of random EV71 infection, vomiting in 17 cases (30.07 %); Twitching in 3 cases (5.66%), drowsiness in 27 cases (50.94%); peripheral blood leukocyte increased in 43 cases (71.69%); cured by antiviral symptomatic treatment. Conclusion Hand foot and mouth disease in the course of treatment, children with fever, limb jitter, weakness, easy to panic, to be highly suspected hand-foot-mouth disease complicated by nervous system damage, and actively reduce intracranial pressure, intravenous gamma globulin and the use of hormone therapy as appropriate to prevent the disease Increased, improve the cure rate of hand, foot and mouth disease.