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首页> 外文期刊>Pediatric critical care medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies >Neurogenic pulmonary edema in enterovirus 71 encephalitis is not uniformly fatal but causes severe morbidity in survivors.
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Neurogenic pulmonary edema in enterovirus 71 encephalitis is not uniformly fatal but causes severe morbidity in survivors.

机译：肠道病毒71型脑炎的神经源性肺水肿并非致命，但会导致幸存者严重发病。

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摘要

During the Australian summer of 2000/2001, there was an outbreak of enterovirus 71 infection in Sydney. Between December 2000 and May 2001, approximately 200 children presented to Sydney Children's Hospital with hand-foot-and-mouth disease and 18 experienced neurologic complications. Four presented with acute invasive central nervous system disease and severe pulmonary edema. We describe the cardiorespiratory disturbances and intensive care management of these four consecutive children successfully treated for neurogenic pulmonary edema attributed to proven enterovirus 71 infection. All four survived the acute stage of the illness. However, all four have been left with significant debilitating morbidity. Epidemic enterovirus 71 brainstem encephalitis presenting as neurogenic pulmonary edema can be successfully managed in the pediatric intensive care unit but has great potential to yield a large number of handicapped toddlers and become "the poliomyelitis of the 21st century."
机译：在2000/2001澳大利亚夏季，悉尼爆发了肠道病毒71感染。在2000年12月至2001年5月之间，约有200名儿童因手足口病和18例神经系统并发症被送往悉尼儿童医院。四例表现为急性浸润性中枢神经系统疾病和严重的肺水肿。我们描述了这四个连续的孩子的成功地治疗归因于证实的肠病毒71感染的神经性肺水肿的心肺功能紊乱和重症监护管理。这四个人都在疾病的急性期中幸存下来。但是，这四个人都患有严重的致残性疾病。表现为神经源性肺水肿的流行性肠病毒71型脑干脑炎可以在儿科重症监护病房得到成功治疗，但具有巨大的潜力，可以使大量的有残疾的幼儿产生并成为“ 21世纪的脊髓灰质炎”。

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