Post on 21-Mar-2016
description
------EV71 2009.4.2.
?
()~, Hand-foot-mouth-disease,HFMD~,:~, 1957.~,~,(200851)~,,
() HFMD~,: +~,:. ~,: 0~~,: 2~7~,: 2%~5%
=(2) =(25) =(12)
~,~11~,(12)
() ()1. 68697071 RNA)2. CA 16457910RNA)3. CB 2513 RNA)4. ECHO 13 DNA
EVHEV RNA EV EV64 ,RNA, 78kb;2030nm56C,,1969 EV71
71EV71~,,!~,~,EV7120072008EV71
superantigenSAg~, 1989WHITE~, T2000-50000 1~10ng/mlT
71 75%5%4 1- 20 !()!56 !
()EV 711972~1973 19861999EV 71(CNS)
()-12070CNSEV 7175014919.87445.87
()-219944Cox A169522~3EV 71
()1969,EV71 , EV71, EV71 ,
()-11969~1970Cox A16197319782 EV 711997~2000EV 71Cox A16EV 71
-22090EV 711997EV 714~82 6284~6291.5 2100 %62 %66 %28 %17 %17
-3 (A)19811983Cox A165~107 0002198622.3 %1.9 %
B1995EV 7119982EV 7120005~816985141283
C1998EV71129 106405785:12
EV7132008327328329415 425EV71427430EV7152::EV71200858:1.228
1.2.3.4.,
EV71(1)1112~3(2)(3)(4) (5)
200933024330834
()EV71(AFP),
EV71()1~238: :::
:
::,,
--1150-200/min11mmol/L27
.
()3814d236h3
SepsisSepsis
Sepsis Sepsis ~, ~,~,,.L10,
EV71 13:XARDSX, , 90%
: ( PaO2/ FiO2 )
()1998EV71:
() 12ALTASTCK-MB34EV71EV71
() 1X 2 34ST-T
() 198EV712,CD4 CD8 TNK,IL-10, IL-13IFN-
3() () ,,
1 (2+3)2 (0+3)3XEV71()
3393>150mg/L,8.5mmol/L3 8.5mmol/L
+ EV71-RNA)EV71EV71-IgMEV71-IgG4
13 2 3 4 5 6 7 8
Hand-foot-mouth disease Aphthae Epizootic ICD-10 B08.401 ICD-10 B08.802 () . , ,
...
.():: (. ). : .(): .:12mg/kgd35mg/kgd0.20.5mg/kgd12():
1. 2., 3.:4567
200857,1424,644
1. 2. 3. 844. 5. 6.
.()1.2.3.4.5.84
. 1.2-3/> 2. 3. 4. 5. 6. 7.EV711-2
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