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yxfbbiedtj · Wysłany: Pią 8:54, 18 Mar 2011

Hand, foot and mouth disease 50 cases

Risk symptoms. 2.2 Oral manifestations in 45 cases (90%) of oral mucosal herpes, distributed in the buccal mucosa, soft palate, tongue, lips and gums, mucous membranes, to buccal,[link widoczny dla zalogowanych], lingual margin of the soft palate and the most common. Early lesions to the throat bleeding, occur within 1 ~ 5mm oral mucosal herpes size, edge congestion, about 1 ~ 2d after the rupture, the formation of yellow pseudomembrane covering the surface of the small ulcers, varying in size from the tip to the bean, the number of several dozens range,[link widoczny dla zalogowanych], some confluent; ulcers caused significant pain, patients with drooling, poor feeding, etc., resembling severe herpes stomatitis, but its duration is shorter, shortly after the fever, oral ulcer gradually restored normal. 2.3 100% of the performance of children with rash had rash, 90% of the rash and oral mucosal herpes simultaneously, first for the rosy redness or rash, 24h and changed to herpes, occurs in the palm of your hand, foot, Zhi Zhi the flexor surface of thick skin such as the site vulnerable to friction, the typical person is the size of a grain of rice to soybeans Medical vesicular Pizhao Qing 3, 2008 (Total 65) rash, more in diameter, about 5mm, blister fluid is clear and transparent, and around to flush, were round or oval, with mild itching, surface thick and difficult to rupture, ≤ 3-year-old children occurred in the hip and knee, the erythema and papules mainly hip skin attention to prevent the spread of the disease. Hand, Foot and mouth disease the main clinical manifestations were fever, hand, foot, hip, oral mucosa herpes or ulcers. According to the clinical features, skin rash morphology, disease and other objects, and the epidemic season symmetrical severe rash. Usually subsided within 1 week,[link widoczny dla zalogowanych], no make a diagnosis, but sometimes need to diseases such as nettle rash and pigmentation. Measles, chickenpox, herpes stomatitis, herpes pharyngeal inflammation cheek, mouth 3. Phytophthora foot differentiated auxiliary examination, if necessary, to do virus and anti-pathogenic and 50 cases of blood routine examination, 3l (62%) leukocytes body detection. Department of the disease viral infection, was self-limiting, normal, 14 cases (28.%), Elevated WBC count, 5 cases of anti-virus and symptomatic treatment, support the good prognosis after treatment (10%) decreased the total number of white blood cells; Category lymphocytes good, very few complications, but severe cases can be complicated with myocardial high neutrophils low. ECG in 12 cases, 2 life-threatening inflammation and meningitis in 3 cases in this group with myocardial patients (16.67%) STT segment changes, l (8.3%), sinus damage, in the conventional therapy combined with vitamin C , ATP, moving too quickly. 3 cases of increased myocardial enzyme (6%). Check liver coenzyme A, coenzyme 010 1O days of treatment such as nutrition myocardium, the heart and chest examination were normal. Muscle enzymes returned to normal. Tip of the disease often accompanied by myocardial injury, 4. Treatment and outcome of fulminant myocarditis combined with high mortality, so the treatment process should be caused by a viral infection of the disease, treatment with anti-viral-based. Routine electrocardiogram, myocardial enzymes inspection, in order to avoid misdiagnosis lesser symptoms of oral anti-viral oral solution, Ban Langen granules; myocarditis. The heavier children with symptoms of fever and given acyclovir, Yan Hu Ning conclusion, prevention of epidemic spread of the disease is mainly to detect and add liquid such as intravenous infusion, heat can not eat children to pay attention to isolation of the contaminated daily supplies, utensils, play to supplement the heat and dielectric, secondary infection such as a rule combined with antibiotics to sterilize the cut off transmission,[link widoczny dla zalogowanych], and good treatment. When complications, according to the principles of appropriate symptomatic treatment of environmental health, food sanitation and hygiene, while strengthening treatment. After treatment, the group of 50 patients recovered completely. Outbreaks have been reported. Parents should be minimized during the epidemic zone 5. Discussion of hand, foot and mouth disease is a rash of sexually transmitted diseases,[link widoczny dla zalogowanych], generally caused by the Coxsackie A16 virus, but also by coxsackie A5, AIO and intestinal 7l-type virus epidemic, more common in summer and autumn. The disease through saliva, droplets spread through the respiratory tract, or by hand and pollutants through oral transmission. As the disease contagious, spread fast, short period of time in schools, kindergartens, community and other populated areas, causing a pandemic. The survey shows that 58% of people gathered in the kindergarten. Tip of children can lead to widespread infection among kindergarten children to be densely populated public places in order to reduce the chance of infection, while increasing the sensitivity of surveillance, strengthening prevention and health care nursery, control the epidemic.