摘要
疱疹性咽峡炎是由肠道病毒感染引起的儿童急性上呼吸道感染性疾病,其主要病原、传播途径和手足口病相似,但发病率高于手足口病。疱疹性咽峡炎大部分临床过程呈自限性,但个别患儿可进展至手足口病,出现心、肺、脑等脏器功能损害,严重者危及生命。因其发病率高,传染性强,中华医学会儿科学分会感染学组及国家感染性疾病医疗质量控制中心发布了《疱疹性咽峡炎诊断及治疗专家共识(2019年版)》。为进一步帮助临床医师早期识别疱疹性咽峡炎,规范治疗,减少因其所致的重症病例,降低死亡率,本文在此就专家共识作一深入解读。
Herpangina is an acute upper respiratory tract infection caused by enterovirus infection.The main pathogens,transmission routes are similar with hand-foot-mouth disease,but the incidence of herpangina is higher than that of hand-foot-mouth disease.Most clinical processes of herpangina are self-limiting,but a few children can progress to hand-foot-mouth disease,present heart,lung,brain and other organ damage,even to serious to life-threatening.Due to the high incidence rate and strong contagiousness,the publication of the Consensus of Diagnosis and Treatment of Herpangina(2019 version)issued an early identification of herpangina,regulating the treatment of herpangina,which can not only reduce severe cases caused by herpangina,but also can reduce the occurrence of death.
作者
蒋荣猛
JIANG Rongmeng(Infectious Department 2,Beijing Ditan Hospital,Beijing 100015,China)
出处
《西部医学》
2019年第12期1810-1813,共4页
Medical Journal of West China
