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Since 1981, the disease was discovered in Shanghai, and has been reported in more than a dozen provinces (cities) such as Beijing, Hebei, Tianjin, Fujian, Jilin, Shandong, Hubei, and Guangdong. In 1983, an outbreak of hand, foot and mouth disease caused by COXA16 occurred in Tianjin, with more than 7,000 cases occurring in May and October. After two years of sporadic epidemics, in 1986 there was another outbreak, mainly in nurseries and kindergartens. In 1995, the Wuhan Institute of Virology isolated EV71 virus from hand, foot and mouth patients, and in 1998, the Shenzhen Health and Epidemic Prevention Station isolated two strains of EV71 virus from patients.
In May 2000, in August 2000, there was an outbreak of pediatric hand, foot and mouth disease in Zhaoyuan City, Shandong Province, and the Municipal People's Hospital received 1698 children, including 1025 males and 673 females, with the youngest being 5 months old and the oldest being 14 years old. Three patients died of fulminant myocarditis. Sixteen-year-olds shouldn't get sick Don't worry, but it's better to go to the hospital.
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Adults can also be infected with the HFMD virus, but it is usually infected. Adults who carry the virus can spread the virus to their children. Hand, foot and mouth disease (HFMD) is a common infectious disease caused by a variety of enteroviruses, mainly in infants and young children.
Most patients have mild symptoms and are characterized by fever and rash or herpes on the hands, feet, mouth, etc.
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Hand, foot and mouth disease is a common disease in children in spring and summer, pay attention to hand, foot and mouth disease is manifested in the ** and oral cavity, but the virus will invade the heart, brain, kidney and other vital organs. When the disease is epidemic, it is necessary to strengthen the prevention and treatment of 1. Take antiviral drugs, such as virazole, viralin, etc. 002. Keep the local area clean to avoid secondary infection of bacteria.
003. When children have difficulty eating due to erosion in the oral cavity, they can be given easy-to-digest liquid food (1) ordinary cases.
001. General**: Pay attention to isolation to avoid cross-infection. Rest properly, eat lightly, and take good care of your mouth and **.
002. Symptomatic**: Fever and other symptoms are treated with a combination of traditional Chinese and Western medicine**.
00 (2) Severe cases.
001. Nervous system involvement**.
00 (1) Control intracranial hypertension: limit the intake, actively give mannitol to lower intracranial pressure**, each time, once every 4-8 hours, 20-30 minutes rapid intravenous injection. Adjust the dosing interval and dose according to the condition. Add furthiamine if necessary.
00 (2) Glucocorticoids** as appropriate, reference dose: methylprednisolone 1mg-2mg kg·d; hydrocortisone 3mg-5mg kg·d; Dexamethasone, after stabilization, reduce or discontinue as soon as possible. In individual cases, a higher dose (eg, methylprednisolone 10 mg to 20 mg kg/day (maximum single dose not exceeding 1 g) or dexamethasone should be considered for rapid progression and severe disease.
00 (3) Intravenous immunoglobulin should be used as appropriate, with a total amount of 2g kg, given in 2-5 days.
00 (4) Other symptoms**: cooling, sedation, anticonvulsion.
00 (5) Closely observe the changes in the condition and closely monitor it.
002. Respiratory and circulatory failure**.
00 (1) Keep the airway open and inhale oxygen.
00(2) Ensure that the two venous channels are open, and monitor respiration, heart rate, blood pressure, and oxygen saturation.
00 (3) When respiratory dysfunction is imposed, the endotracheal intubation should be used for positive pressure mechanical ventilation in time, and the initial adjustment parameters of the ventilator are recommended: inhaled oxygen concentration 80%-100%, PIP 20-30cmH2O, PEEP 4-8cmH2O, F 20-40 times, and tidal volume of about 6-8ml kg. Ventilator parameters can be adjusted at any time according to the results of blood gas and chest x-ray.
Give appropriate sedation and analgesia. If pulmonary edema and pulmonary hemorrhage are present, PEEP should be increased, and nursing operations such as frequent sputum suction to reduce respiratory pressure should not be performed.
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Hand, foot and mouth disease (HFMD) is a common condition in infants and children.
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Eat Chinese medicine to clear heat and detoxify. Do not let your child have a persistent fever. It usually heals after a week.
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It can be contagious, especially to people with low immunity.
I'm like you, sometimes double and sometimes single, hehe Don't pay too much attention to this, it's best to go with the flow, you're still in school, and if you really want to have a double eyelid when you go to college, no one will object to you Study hard first.
He is in the period of adolescent rebellion, and often the more parents don't let him do it, he wants to do it, because children will have the idea of wanting to be independent during this period, get rid of dependence, and want to decide many things by themselves. The most important thing for an adolescent child is communication and emotional communication, not that parents have to decide everything, and the more you force him to do exactly what you think, the result is often counterproductive. Try to communicate with him, but not between parents and children, communicate like friends, and slowly get used to it, and the child will not be so rebellious.
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