手足口Hand foot mouthWord下载.docx

手足口Hand foot mouthWord下载.docx

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2,theoralmucosaappearedscatteredinherpes,grainsize,painobvious;

3,palmsorsolesofthefeetappearinthesizeofthesizeofherpes,hiporkneemayevenbeinvolved;

4.Thereisaninflammatoryblusharoundthebleb.Thereislessfluidintheblister;

5,somepatientsmaybeaccompaniedbycough,runnynose,lossofappetite,nausea,vomiting,headache

Ishand,footandmouthdiseaseserious?

Usuallynotserious.Almostallpatientsrecoverwithouttreatment.HFMDusuallyhealin7-10days.Complicationsareuncommon.Veryfewpatientscandevelopasepticorviralmeningitiswithsymptomsoffever,headache,straightneckorbackpain,whichrequirehospitalizationforaperiodoftime.

Whatkindofpeoplearesusceptibletohand,footandmouthdisease?

Thepopulationwasgenerallysusceptibletohand,footandmouthdiseasevirus,andallagegroupscouldbeinfected.However,thediseasepreventionpracticeshowedthatthepatientsweremainlypreschoolchildren,especiallythoseunder3yearsofage.

incubationperiod

Theincubationperiodofthediseaseis2~7days,andthesourceofinfectionconsistsofpatientsandthosewithlatentinfection.Duringtheepidemic,patientswerethemainsourceofinfection.Intheacutephaseofthedisease,thepatientcanexcretethevirusfromthepharynx;

thereisalargeamountofvirusintheherpesfluid,andthevirusoverflowsduringthebreak;

thepatientcanstillexcretethevirusfromthestoolseveralweeksafterthedisease.

Sourceofinfection

Hand,footandmouthdiseaseisthesourceofinfectionpatientsandhiddeninfection.Duringtheepidemic,patientsarethemainsourceofinfection.Thepatientdischargesthevirusfromthepharynx1~2weeksaftertheonsetofthedisease,andthevirusisexpelledfromthestoolforabout3~5weeks.Alargenumberofvirusesarepresentintheherpesfluidandthevirusoverflowswhenthevirusbreaks.Drugusersandlightemittingcasesarethemainsourcesofepidemicintermittentandepidemic.

Communicationmode

Thediseaseistransmittedinavarietyofways,mainlythroughclosecontactamongpeople.Theviruscausedbysaliva,herpesfluid,fecescontaminatedhands,towels,handkerchiefs,toothcups,toys,utensils,milkandbedding,underwearandotherindirectcontacttransmission;

throatsecretionandsalivainpatientswiththeviruscanbetransmittedbydroplets;

suchascontactbytheviruspollutionofwater,waterorinfection;

thecliniccrossinfectionandpoorinstrumentdisinfectionisalsooneofthereasonsforthespreadof.

Susceptiblepopulation

Thepopulationisgenerallysusceptibletoenteroviruscausinghandfootandmouthdisease,andimmunityisacquiredafterinfection.Duetothedifferentdiseaseafterinfectionantibodyprototypedon'

tlackofcrossprotection,therefore,peoplecanberepeatedlyinfectedadultshavemostlybeeninfectedbyarecessiveantibodies,therefore,patientswithHFMDmainlyforpreschoolchildren,especiallyinlessthan3yearoldagegrouphadthehighestincidence.Accordingtoforeignreports,itispopularevery2~3yearsinthepopulation.

Clinicalmanifestations:

hand,footandmouthdiseaseisaenterovirusdisease,incubationperiodisgenerally3-7days,thereisnoobviousprecursorsymptoms:

mostpatientssuddenlyonset.Themaininvasionofhand,foot,mouth,buttocks,fourparts;

clinicalmorepainless,noitching,noscab,noscarringofthefournoncharacteristics.Earlymayhavemildflusymptoms.Becauseoralulcerpain,childrenwithsalivationantifeedant.Oralmucosarashappearedrelativelyearly,initiallyasmiliarymaculopapularrashorblisters,surroundedbyflush,mainlylocatedinthetongueandcheeks,lipssidealsooccurs.Hand,footanddistalpartsappearorflatorconvexclasspapulesorherpesrash,noitching,rashin5daysfromredtodark,thensubsided;

herpeswereroundorovalflatconvex,withlongdiameterandturbidliquid,stickstotheagreement,suchassoybeansofvaryingsize,generallynothepainanditching,leavingnotraceafterhealing.

Hand,footandmouthlesionsinthesamepatientmaynotallappear.Blistersandrashesusuallysubsidewithinaweek.

Six.Whatarethecomplicationscausedbyhand,footandmouthdisease?

Hand,footandmouthdiseaseismanifestedintheskinandmouth,buttheviruscaninvadetheheart,brain,kidneyandotherimportantorgans.Whenthediseaseisprevalent,itisnecessarytostrengthentheclinicalmonitoringofthepatient.Ifthereisahighfeverandunknownwhitebloodcells,otherinfectiouslesionscannotbefound.Weshouldbealerttotheoutbreakoffulminantmyocarditis.Withasepticmeningitis,thesymptomshaveafever,headache,vomiting,stiffneck,easyirritability,sleepisnotstable;

thebodycanoccasionallynonspecificredpapules,evenspottingpoint.Peoplewithcentralnervoussystemsymptomsaremorecommoninchildrenunder2yearsofage.

Ifthereisnocomplication,footandmouthdiseaseinchildreninmostweekscanbecured.Treatmentprincipleismainlysymptomatictreatment,undertheguidanceofdoctorstakingvitaminB2,Candantiviraldrugs.Inaddition,hand,footandmouthdiseasecanbecombinedwithmyocarditis,encephalitis,meningitisandotherdiseases,shouldbereviewedinatimelymanner.

1、disinfectionandisolation

Onceinfectedwithhand,footandmouthdisease,thebabyshouldbeintimeformedicaltreatment,toavoidcontactwiththeoutsideworld,generallyneedtoisolate2weeks.

Babyuseditemsshouldbethoroughlydisinfected:

canbesoakedwithchlorinedisinfectant,notsoakeditemscanbeplacedinthesunexposure.

Thebaby'

sroomshouldberegularlyventilatedwindows,tokeeptheairfreshandincirculation,thetemperatureappropriate.Conditionedfamiliesuselacticacidfumigationtodisinfecttheaireveryday.Reducethenumberofpersonnelinandoutofthebaby'

sroom,prohibitsmoking,preventairpollution,andavoidsecondaryinfection.

2,dietnutrition

Ifyougetsickinthesummer,thebabyislikelytocausedehydrationandelectrolytedisorders,youneedproperwaterandnutrition.

BaoBaoyiisinbedfor1weeksanddrinkplentyofwarmwater.

Childrenduetofever,oralherpes,poorappetite,reluctanttoeat.Shouldbegiventothebabytoeatlight,warm,delicious,easytodigest,softliquidorsemifluid,fastingcold,spicy,saltyandotherpungentfood.

3、oralcare

BecausethebabyoralpainandAntifeedant,salivation,cryingsleepless,tokeepthebabycleanmouth,beforeandaftermealswithsalinegargle,gargleofbabycanusecottonswabdippedinsalinegentlycleanthemouth.

VitaminBcanbedirectlyappliedtojralpowder2parts,coatedorCodLiverOil,alsooralvitaminB2,vitaminC,supplementedbyultrasonicatomizinginhalation,torelievepain,promotehealingoferosion,preventionofsecondarybacterialinfection.

4,skinrashnursing

Babyclothes,beddingtoclean,clothingtobecomfortable,soft,oftenreplaced.

Cutyourbaby'

snailsandwrapthebaby'

shandswhennecessarytopreventscratching.

Ababywitharashatthebuttocksshouldcleanuphisstoolatanytimeandkeephishipscleananddry.

HandandfootrashearlycanbecoatedwithCalamineLotion,toformherpesorherpesulcerationcanbecoatedwith0.5%iodophor.

Keepyourskincleanandpreventinfection.

Childrenwithhand,footandmouthdiseasearegenerallylowormoderatefever,withoutspecialtreatment,canletthebabydrinkplentyofwater.

Bodytemperaturebetween37.5degreesto38.5degreesbetweenthebaby,togiveheat,drinkplentyofwarmwater,warmwaterbath,andotherphysicalcooling.

Tosummarizetheclinicalcharacteristics,treatmentandprognosisofseverehandfootmouthdisease（HFMD）complicatedwithencephalitis.Methodsatotalof362patientswithHFMD,including9caseswithencephalitis,wereanalyzed.Theclinicalmanifestations,treatmentprotocolsandclinicaloutcomeswereanalyzed.Resultsearlytreatmentwithdehydration,hormone,intravenousimmunoglobulinandsoon,allthechildrenwerecured,andtherewasnosequelaofthenervoussystem.ConclusionthecasesofsevereHFMDwithencephalitisareprogressingrapidly,andtheearlyclinicalmanifestationsaremoreinsidious.Ifthediseasecanbedetectedearlyandintervenedintime,theprognosiswillbegood.

[keyword]handfootmouthdisease;

encephalitistreatment

Footandmouthdisease（HFMD）isacommoninfectiousdiseasecausedbyavarietyofintestinalvirus,toinfantgoodhair,themajorityofchildrenwithfever,hand,foot,mouthandotherpartsoftherashorherpesasthemainperformance,afewcasescomplicatedbyencephalitis,myocarditis,pulmonaryedema,etc..Individualcasesofsevereillness,rapidprogress,pronetodeath.CausedbyenterovirusHFMDincludingnewenterovirusEV71,CoxsackievirusACoxA16,ECHOvirusetc..TheproportionofseverecasescausedbythenewenterovirusEV71infectionishigh,andEV71infectionisdifferentfromCoxA16infection.Itischaracterizedbyahighproportionofneurologicalcomplications.Theclinical