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