The clinical manifestations of "herpetic angina" are fever and sore throat in different degrees, and children may be accompanied by symptoms such as nausea, vomiting and cough. Children usually have a sudden onset of high fever, which may be accompanied by a runny nose in the early stage. Older children will refuse to eat because of oral pain, and younger children will show breast rejection, crying, insomnia, drooling and so on. , will affect swallowing function, but most of them will not affect speech. During the physical examination, there was bleeding in the pharynx, and there were several gray-white herpes about the size of millet, with a diameter of about 1-2cm and a blush around it. Herpes is mostly sporadic, mainly distributed at the edge of pharyngeal arch, oral mucosa, tonsils, posterior pharyngeal wall and so on. Herpes can be broken, forming a yellow ulcer after breaking. It is not difficult to diagnose herpetic angina in children, and it is difficult to misdiagnose it as a common cold or pharyngitis before herpes appears. Parents should pay more attention to this.
The treatment of herpetic angina often adopts the combination of traditional Chinese and western medicine, mainly traditional Chinese medicine. You can choose some drugs for clearing away heat and toxic materials and relieving sore throat, such as Radix Isatidis granules, honeysuckle, forsythia, dandelion, mint, gypsum, bamboo leaves, Radix Rehmanniae and other drugs for clearing away heat and toxic materials, which are often used in soup. Heavier children can be given intravenous drip of Yanhuning and Qingkailing injection. At the same time, you can also use atomized ultrasound to inhale antiviral drugs such as Shuanghuanglian. Western medicine generally uses antiviral drugs for treatment. For children with serious illness and persistent high fever, they should be tested according to their illness before they can be quiet. People with mild illness can take antiviral drugs orally, such as neobolin and antipyretics.
Deputy Director Zhuang suggested that when children suffer from herpetic angina, parents should drink more water to help cool down. Eat nutritious and digestible liquid or semi-liquid, such as milk, rice porridge, juice, etc. Eat less and often. Don't give children spicy, sweet or fried food. In addition, give children more fruits and vegetables containing vitamins, especially those that are not overheated. In addition, in order to prevent secondary infection, it is necessary to avoid getting wet in the rain and excessive fatigue during the treatment, and it is necessary to keep the child's mouth clean. You can choose light salt water to rinse your mouth every day.
The child's herpetic angina will recover in about a week. It is worth mentioning that many parents suspect that their children have hand, foot and mouth disease after their children are diagnosed with herpetic angina. Herpes angina is not as contagious as hand, foot and mouth disease, so parents need not worry too much. Moreover, children do not have herpes on their hands and feet, which is generally not hand, foot and mouth disease. Parents should not panic too much. Parents should take good care of their children and try not to let them contact with other children. Because the initial symptoms of herpetic angina are not much different from the common cold, parents must pay attention to timely treatment.
Herpetic angina in children is a self-limited disease caused by enterovirus, which is characterized by acute fever and herpetic ulcer in pharyngeal isthmus. It is mainly transmitted through feces-mouth or respiratory tract, which is highly contagious and spreads rapidly, showing sporadic or epidemic. Summer and autumn are the high incidence seasons, which mainly affect children aged 65,438+0 ~ 7. Generally, the course of disease lasts 4-6 days, and in severe cases, it can last for 2 weeks.
The main manifestation of the disease is sudden fever, which can be sustained or repeated. Older children often complain of sore throat, especially when swallowing, and sometimes complain of headache, abdominal pain or myalgia. Infants and young children show irritability, refusal to eat, salivation, vomiting and so on. Most children have no symptoms such as cough and runny nose. Some children may have submandibular lymph node enlargement or tenderness, and most of them have normal blood routine or slightly lower blood cell count.
The combination of traditional Chinese and western medicine has a better effect. The treatment is not complicated, because there is no specific antiviral drug, and antibacterial drugs are ineffective against the virus. Treatment is mainly oral Chinese medicine, antiviral and symptomatic treatment. Western medicine such as acyclovir and ribavirin can be used to resist viruses; Herpes angina belongs to damp-heat obstruction according to TCM syndrome differentiation, which is mostly caused by exogenous damp-heat attacking pharyngeal gorge. Commonly used treatment methods include detoxification, relieving sore throat, eliminating dampness and reducing fever, and the newly added Xiangxi drink, Ganlu Xiaodu Dan, Yinqiao Mabo powder, antipyretic mixture, Shuanghuanglian, Radix Isatidis and so on. Can be selected according to syndrome differentiation. Patients with myocardial damage should stay in bed properly and use cardioprotective drugs. You can also use pressurized or ultrasonic atomizing inhalation of antiviral drugs, Huashenlong pills, gargling Liyan mixture, spraying tin powder, spraying golden throat decoction, etc. Used for local treatment of pharyngeal isthmus; When you have a fever, you can use antelope horn powder to clear the fire, reduce fever and prevent convulsions, and you can also use physical therapy to cool down. When your temperature exceeds 38.5℃, you can use antipyretics such as Thorne and Merrill Lynch. When the body temperature exceeds 39.5℃, vomiting and convulsions occur, which affects diet and sleep, it can be combined with infusion support therapy and symptomatic central cooling measures; When the white blood cell count and neutrophil increase in blood routine examination, it indicates that there is bacterial infection, and antibacterial drugs can be used in combination, otherwise antibacterial drugs should not be used.
Sick children should be isolated for 2 weeks, and the tableware used by children must be disinfected with boiling water to prevent cross infection. No vaccine has been developed for this disease. Because there are many kinds of enteroviruses, the same child can be infected with this disease repeatedly. During the treatment, you should pay attention to rest, don't take strenuous activities, get enough sleep, drink more water, eat less, eat more vegetables, and don't eat sorbet and drink alcohol. Pay attention to keep the diet light, drink more warm water, give children more vegetables and fruits rich in vitamins, and try to eat less fried and fried greasy food. Avoid irritating foods, such as sour, sweet, spicy, salty, spicy and hard. And pay special attention not to eat too hot or too cold food, so as not to stimulate the damaged parts of the mouth and cause pain. Appropriate amount of mung bean, bitter gourd, coix seed, rice, etc. It can be used to cook porridge or soup, and after it is cooled, it can be given to children in moderation.