论文部分内容阅读
手足口病是由多种肠道病毒引起的常见传染病,以肠道病毒71型(EV71)及柯萨奇病毒16型(CoxAl6)最常见,以婴幼儿发病为主。大多数患者症状轻微,以发热和手、足、口腔、臀等部位出现皮疹或疱疹为主要特征。少数患者可发生脑炎、脑膜炎、脊髓炎、周围神经炎、急性弛缓性麻痹、心肌炎等,个别重症患儿病情进展快,可因神经源性肺水肿、心肺功能衰竭而死亡。近年来,东南亚地区手足口病发病率升高并呈现季节性流行(5~8月)和全年散发趋势。现就该病的诊治作一专题笔谈,以飨读者。
Hand-foot-mouth disease is a common infectious disease caused by a variety of enteroviruses. The most common cause is enterovirus 71 (EV71) and Cox-Al-6 (infants and young children). Most patients with mild symptoms, fever and hand, foot, mouth, buttocks and other parts of the rash or herpes as the main features. A small number of patients may occur encephalitis, meningitis, myelitis, peripheral neuritis, acute flaccid paralysis, myocarditis, etc., some critically ill children progressed rapidly, may be due to neurogenic pulmonary edema, heart failure and death. In recent years, the incidence of hand-foot-mouth disease in Southeast Asia has increased and showed a seasonal epidemic (May to August) and annual distribution trends. Now on the diagnosis and treatment of the disease to make a topic pen to readers.