Very young infants and young children have weak body resistance and many functions are not yet perfect, so they are often attracted to bacteria and viruses. For example, enterovirus infection is very common. This infection may cause hand, foot and mouth disease in children. Hand, foot and mouth disease is very harmful, and children will have many uncomfortable symptoms, but parents do not need to panic. They can take the following methods to treat it. First, treatment of common cases (1) Strengthen isolation: avoid cross-infection, get adequate rest, eat a light diet, and take good care of your oral and skin. (2) Symptomatic treatment: fever, vomiting, diarrhea, etc. should be treated accordingly. (3) Etiological treatment: Ribavirin, etc. Second, treatment of severe cases (1) Cases with concurrent nervous system involvement: ① Symptomatic treatment: such as cooling, sedation, and anticonvulsant (diazepam, sodium phenobarbital, chloral hydrate, etc.); ②Control intracranial hypertension: limit the intake, administer mannitol for dehydration, the dosage is 0.5-1.0g/kg each time, Q4h-Q8h, adjust the administration time and dosage according to the condition, and add furosemide if necessary; ③ Intravenous injection of immunoglobulin: 1g/kg twice or 2g/kg once; ④ Use glucocorticoids as appropriate: methylprednisolone 1-2 mg/(kg·d), intravenous drip in 1-2 times. Severe cases can be treated with short-term high-dose granules: methylprednisolone 15-30 mg/(kg·d), which can be reduced to a small dose after 3 days. ⑤For patients with respiratory failure, mechanical ventilation should be provided and respiratory management should be strengthened. (2) Cases with combined respiratory and circulatory system involvement: ① Keep the airway open and inhale oxygen; ② Establish intravenous access and monitor respiration, heart rate, blood pressure and blood saturation; ③ In case of respiratory failure, timely endotracheal intubation, use of positive pressure mechanical ventilation, and adjustment of respiratory parameters at any time according to blood gas analysis; ④ Use vasoactive drugs and immunoglobulin G when necessary. Third, what medicine to take for hand, foot and mouth disease Traditional Chinese medicine emphasizes syndrome differentiation and treatment of hand, foot and mouth disease. For the acute phase with low fever or no fever, runny nose and cough, red and sore throat, or poor appetite and nausea, the prescription "Yinqiao Powder" can be used. If high fever persists and herpes is densely distributed in the mouth, hands, feet, buttocks, and limbs, you can use the prescription "Qingwen Baiduyin". For complications such as persistent high fever, frequent cough and shortness of breath, the prescription of "Ji Jiao Li Huang Wan combined with Shen Fu Tang" can be used. During the recovery period of the disease, for children with dry mouth and sore throat, add raw Rehmannia root and Phragmites australis to the prescription of Adenophora Root and Ophiopogon Decoction to nourish yin, promote body fluid production, clear heat and moisten the throat. If your child has herpes in his mouth, you can use watermelon frost, bingpeng powder, or xilei powder, and apply any one of them to the affected area of the mouth. For severe cases of herpes on hands and feet, you can use Ruyi Jinhuang Powder or Qingdai Powder, choose one of them, mix with sesame oil, and apply it to the herpes affected area. |
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