手足口病并发病毒性脑炎65例临床分析

    Treatment of viral encephalitis caused by hand-foot-mouth disease:a report of 65 cases

    • 摘要: 目的:分析手足口病并发病毒性脑炎的临床特点,探索该病的诊断、治疗方法和预后。方法:65例手足口病并发病毒性脑炎患者,采用甲泼尼龙、丙种球蛋白冲击和脱水、抗病毒等治疗。结果:病毒性脑炎多发生在病程第2~4天,其主要临床表现依次为皮疹、发热、嗜睡、肢体抖动、呕吐等,2例出院时有神经系统后遗症,其余均痊愈出院。结论:手足口病并发病毒性脑炎多发生在3岁以下患儿,神经系统症状不典型,早期诊断和治疗病毒性脑炎是救治成功的关键,延误诊治可致神经系统后遗症,甚至死亡。

       

      Abstract: Objective: To analyze the clinic features of viral encephalitis caused by hand-foot-mouth disease (HFMD),and to explore its diagnosis,treatment and prognosis.Methods: Sixty-five cases of HFMD were diagnosed and methyllprednisolone,gamma globulin assaulting,dewatering and resisting virus therapies were applied.Results: The major clinical manifestations of the 65 cases were skin rash,fever,drowsiness,limbs shaking and emesia.The symptoms of viral encephalitis appeared on the second to the fourth day following the onset of the disease.Sixty-three cases were cured and 2 cases had nervous system residual when discharged.Conclusions: The viral encephalitis caused by HFMD is most frequently observed in children below the age of three.The symptoms of nerve system are not typital.Early diagnosis and treatment are essential to successful remedy.Delayed treatment may lead to never system residual and death.

       

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