摘要
目的探讨疱疹性咽峡炎患儿的临床特征。方法对110例疱疹性咽峡炎患儿临床资料进行回顾性分析。结果 110例疱疹性咽峡炎患儿并发手足口病9例,伴发咳嗽症状35例,其中拍胸片后25例诊断为支气管炎,5例诊断为肺炎;且其中有33例化验肺炎支原体体抗体(MP)为阳性。化验心肌酶升高75例,其中临床表现为高热65例,中度发热8例,低热2例;其中20例有心电图表现异常。并发抽搐表现5例,其中4例诊断为高热惊厥,1例诊断为病毒性脑炎。伴有腹痛14例(12.7%),腹泻3例(2.7%)。110例患儿给予抗病毒治疗为主,同时辅以对症及支持疗法,均得到良好转归。结论疱疹性咽峡炎患儿应注意肺、心、脑、胃肠道等合并症的诊断和治疗。
Objective To investigate clinical characteristicsof childrenwithherpetic angina.Methods The clinical data of 110 children with herpetic angina were retrospectively analyzed. Results In 110 cases of herpetic angina, there were 9 cases of hand-footmouth disease and 35 cases of cough, among them, 25 cases were diagnosed as bronchitis after chest radiograph, 5 cases were diagnosed as pneumonia. And 33 cases were positive for Mycoplasma pneumoniae antibody（MP）. Myocardial enzymes were elevated in 75 cases, including 65 cases of high fever, 8 cases of moderate fever, and 2 cases of low fever, 20 cases with abnormal ecg findings. There were 5 cases of convulsion, 4 cases of them were febrile convulsions and 1 case was viral encephalitis. Abdominal pain was found in 14 cases（12.7%） and diarrhea in 3 cases（2.7%）. 110 cases were mainly treated with antiviral therapy, accompanied by symptomatic and supportive treatment, good results were achieved. Conclusion Children with herpetic angina should pay attention to the diagnosis and treatment of complications such as lung, heart, brain and gastrointestinal tract.
作者
周永红
ZHOU Yong-hong(Department of Pediatric,Beijing Yanqing District Hospital,Peking University Third Hospital of Yanqing Hospital,Beijing 102100,China)
出处
《中国现代药物应用》
2018年第13期26-28,共3页
Chinese Journal of Modern Drug Application
关键词
疱疹性咽峡炎
高热
合并症
Herpetic angina
High fever
Complication
