Effect of fluid loading on the prognosis of severe hand foot mouth disease in children
10.3969/j.issn.1006-5725.2016.17.018
- VernacularTitle:液体负荷对重症手足口病儿童预后的影响
- Author:
Zhuo LI
;
Jun CHEN
;
Jun SHI
;
Jing HU
;
Hongjun MIAO
;
Tao JIANG
;
Wenliang YU
;
Jun LI
- Publication Type:Journal Article
- Keywords:
Hand foot and mouth disease;
Pediatric;
Prognosis;
Volume
- From:
The Journal of Practical Medicine
2016;32(17):2844-2846
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of fluid load on the prognosis of severe hand , foot and mouth disease in children. Methods The patients with severe hand foot and mouth disease in the emergency department of PICU in our hospital were enrolled as the research object. We would collect demographic characteristics , labora-tory tests and clinical data: age, gender, focus, basic disease, and simplified acute severity score (SAPS)Ⅱ and record the cumulative amount of fluid balance at 24, 48, 72 hours after admission. Results There was a signifi-cant difference on fluid balance at 48 and 72 hours between the survival group and the death group , the death group appeared the positive liquid balance , and there were significant differences in PICU retention time , mechani-cal ventilation rate, MODF involved organs, mortality and other prognostic indicators between the negative fluid balance group and the positive fluid balance group. Conclusion Fluid balance is an important treatment for severe hand foot and mouth disease, and positive liquid balance is related to mortality and other adverse prognosis.