Clinical analysis of 29 severe hand-foot-mouth disease cases in Baotou City

Objective To anayze 29 severe hand-foot-mouth disease cases in Baotou City.Methods A retrospective method was applied to analyze the epidemic situation and clinical manifestations of severe hand-foot-mouth disease cases in Baotou City in 2010.Results There 51.72% cases occurred after exposure to the patients.The severe cases were younger with high fever,multiple skin rash and multiple body systems being harmed.Other symptoms were drooping spirits,loss of appetite,vomiting,heart rate changes,meningeal irritation with viral encephalitis and myocarditis.The definite diagnosis rate for first-visit severe cases was low with more referral and long time confirmation,which was more apparent in primary hospital.Conclusion Rural and fringe areas are still the weak and key points to the control and prevention of hand-foot-mouth disease.To detect changes of the patient and improve the diagnostic ability of primary hospital is crucial for improving the correct classification and timely treatment,controlling source of infection and reducing mortality.