Diagnosis and treatment of gastrointestinal dysfunction in children with severe enterovirus 71 infection
10.3760/cma.j.issn.1673-4912.2011.01.006
- VernacularTitle:重症肠道病毒71型感染患儿胃肠功能损害的诊治
- Author:
Yucai ZHANG
- Publication Type:Journal Article
- Keywords:
Gastrointestinal dysfunction;
Hand,foot and mouth disease;
Critically illness
- From:
Chinese Pediatric Emergency Medicine
2011;18(1):18-20
- CountryChina
- Language:Chinese
-
Abstract:
Severe hand, foot and mouth disease (HFMD) may lead to the high mortality due to brainstem encephalitis, encephalomyelitis, pulmonary edema/pulmonary hemorrhage and cardiopulmonary failure in children. Some patients are complicated with severe gastrointestinal dysfunction, manifested as abdominal distension, intestinal paralysis, bleedy stool, haematemesis. "Catecholamine storm" and viral systemic inflammatory response syndrome may be the main mechanisms for gastrointestinal dysfunction. It is important to focus on the monitoring of gastrointestinal dysfunction of severe HFMD. Preventing and avoiding iatrogenic damage of gastrointestinal dysfunction are main treatment strategies.
