Clinical analysis of mechanical ventilation in treatment of 35 critical HFMD patients complicated with neurogenic pulmonary edema
10.3760/cma.j.issn.1008-6706.2012.08.029
- VernacularTitle:机械通气治疗危重手足口病合并神经源性肺水肿35例临床分析
- Author:
Ying ZHANG
- Publication Type:Journal Article
- Keywords:
Hand-foot-mouth disease;
Pulmonary edema;
Ventilators,Mechanical;
Child
- From:Chinese Journal of Primary Medicine and Pharmacy
2012;(8):1174-1175
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo discuss the clinical value of mechanical ventilation in treatment the children with critical hand foot and mouth disease (HFMD) complicated with neurogenic pulmonary edema.MethodsThe clinical manifestations,laboratorydata,treatment,and outcome of 35 children with critical HFMD complicated with neurogenic pulmonary edema were retrospectively analyzed.Results35 cases had fever,34 cases had skin rash,33 cases had limb jitter,30 cases were easily frightened,30 cases lack of energy,34 cases had respiratory rhythm changes,18 cases vomited foam,18 cases poured pink in nose and mouth,22 cases had disturbance of consciousness,8 cases had flaccid paralysis.There were 30 cases with bilateral pulmonary exudative lesions in Chest X-ray.35 children were given mechanical ventilation based on the comprehensive treatment,and 3 cases of lower limb mobility impairments,12 cases died of pulmonary hemorrhage within 24 hours of admission,the rest was released.ConclusionEarly mechanical ventilation based on the comprehensive treatment is an important measure of successful treatment in children with critical HFMD complicated with neurogenic pulmonary edema.
