[摘要] 手足口病是多种肠道病毒感染引起的急性传染病,常见于婴幼儿,主要经接触传播,夏秋季节在幼托机构常出现爆发流行,大多数患者症状轻微,主要表现为发热、疱疹性咽峡炎和手掌、足底、臀周皮疹,少部分患者可出现中枢神经系统损伤、肺水肿、肺出血、循环衰竭,甚至死亡。对于该病,目前尚无特异性治疗手段,主要采取对症治疗。加深对手足口病的流行特征、临床表现的认识,有助于提高对本病的诊治水平。

    [关键词] 手足口病;诊断;治疗

    [中图分类号] R512.5 [文献标识码]A [文章编号]1674-4721(2010)04(b)-014-04

    Diagnosis and treatment of Hand-foot-mouth disease

    ZHU Qingfeng

    (Department of infectious disease, the First Affiliated Hospital of the Medical College, Shihezi University, Shihezi832002, China)

    [Abstract] Hand-foot-mouth disease is an acute infectious disease, it's pathogen include various enterovirus, coxsackie virus and ECHO virus, susceptible of population is infant, contact transmission is mainly route of transmission. Hand-foot-mouth disease frequently epidemic outbreak in kindergarten in summer and autumn. Majority of patients' symptoms are slight, the mainly clinical features are fever, benign croupous angina and herpes at palm、foot bottom, nates; a few patients are grave, to appear centrallesion, pneumonedema, pneumorrhagia, circulatory collapse, even died in emergency room. We have no specific treatment to cure HFMD at present; we have to provide symptomatic treatment. To deepen the understanding to the epidemiologic features and clinical features of HFMD, it will improve clinical outcome. ......