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急性神经源性肺水肿型手足口病患儿1 例救治报告
朱晓东; 何大可; 杨健萍; 郑洁虹; 俞慧菊俞慧菊; 朱晓东
上海交通大学医学院附属新华医院儿内科
Acute neurogenic pulmonary edema caused by hand, foot and mouth disease: a case report
ZHU Xiao-Dong; HE Da-Ke; YANG Jian-Ping; ZHENG Jie-Hong; YU Hui-Ju
Department of Pediatrics, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
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摘要: 本文报道急性神经源性肺水肿型手足口病1 例。该患儿发热伴特征性手、足、臀部皮疹和口腔疱疹,继发呼吸困难、严重高血压、肺水肿、颅内高压, 伴外周循环衰竭等症状。经过气管插管, 正压机械通气, 大剂量丙种球蛋白封闭, 大剂量肾上腺皮质激素冲击, 甘露醇、甘油果糖控制肺水肿和颅内高压, 磷酸肌酸营养心肌, 利巴韦林抗病毒等治疗, 转危为安。

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俞慧菊
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关键词 神经源性肺水肿手足口病救治    
Abstract:A case of acute neurogenic pul monary edema caused by hand , f oot and mouth disease was reported in this paper . The chil d presented with f ever and characteristic  ashes in hands , f eet , mouth and buttocks . Respiratory difficulties , serious hypertension, pulmonary edema, and intracranial pressure were secondary to fever and rashes , complicated with peripheral circulatory failure . Intubation , positive pressure ventilation , high-dose intravenous γ-globulin , and short-term high-dose cortin were effective measures to prevent disease progression. After administration of mannitol and glycerol and fructose , pul monary edema and intracranial pressure were controlled. Furthermore , in combination with nutrition of myocardiumby creatine phosphate and antiviral therapy by ribavirin, the child was rescued.

Key wordsNeurogenic pulmonary edema    Hand, foot and mouth disease    Treatment
通讯作者: 俞慧菊     E-mail: yhj3479@163.com
引用本文:   
朱晓东; 何大可; 杨健萍; 郑洁虹; 俞慧菊. 急性神经源性肺水肿型手足口病患儿1 例救治报告[J]. 微生物与感染 , 2010, 5(4): 236-238.
ZHU Xiao-Dong; HE Da-Ke; YANG Jian-Ping; ZHENG Jie-Hong; YU Hui-Ju. Acute neurogenic pulmonary edema caused by hand, foot and mouth disease: a case report. Journal of Microbes and Infections, 2010, 5(4): 236-238.
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