幼儿疱疹性咽峡炎，请家长们注意！
天气转凉，病*也开始肆意流行，手足口病、疱疹性咽峡炎传染病进入高发期，孩子抵抗力差，容易中招，特别是在幼儿园，易相互传染，家长们必须警惕。
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什么是小儿疱疹性咽峡炎
小儿疱疹性咽峡炎是科萨奇A组病*所致，好发于秋季，它是常见的一种具有流行性的病*性咽炎。临床特征为骤起高热伴有咽喉痛、头痛、厌食、并常有颈，腹和四肢疼痛。
疱疹性咽峡炎的病程表现
潜伏期2~7天，患儿没有任何症状，但体内病*在大量复制。
前驱期1~2天，突然持续高热或反复高热38℃~40℃，并伴有咽喉红肿、食欲不振等症状。
水疱期2~3天，除高烧外，口腔上颚粘膜出现水疱。
溃疡期，低烧或退烧，但也到了患儿最痛苦的时期，因溃疡疼痛出现流口水甚至拒食的现象
提示：患病期间，家长要随时监控孩子体温，可使用物理降温或服用退烧药，防止高热惊厥。
02
疱疹性咽峡炎是手足口病吗
别误当手足口病
手足口病必须是嘴里、手上和脚上都起疱疹，而疱疹性咽峡炎只有嘴里起疱疹。
别误当感冒：
疱疹性咽峡炎初期症状与一般感冒区别不大，家长对此了解也不太多，因此容易被当做普通感冒而延误治疗。
疱疹性咽峡炎最显著的特点就是咽峡部长满疱疹，先是充血性红点，继之小泡，再接着破溃，形成溃疡。伴有复发热、咽痛、孩子拒食、流口水。
会传染吗？
疱疹性咽峡炎是由肠道病*引起的以急性发热和咽峡部疱疹溃疡为特征的疾病，以粪---口或呼吸道为主要传播途径，感染性较强，传播快。
注意隔离：
患儿应尽量待在家中，减少不必要的外出，最好是在体温正常、疱疹消退后再隔离一周，一般来说，共隔离2周时间，和手足口病的法定隔离时间是一样的，尤其是在发病的第一周内，传染性是最强的。同时家长也尽量少串门，因为家长也可能会成疱疹性咽峡炎的传播媒介。
03
如何治疗、护理和预防？
怎么治疗
由于咽峡部小泡破溃后形成溃疡，造成进食水困难，保证液体入量难度增加。补充液体的办法有：给孩子喝偏凉的凉奶或水，少量多次，预防脱水，帮助身体康复。
若孩子频繁的高烧、进食少、小便减少、烦躁、抽搐等等说明容易出现并发症（疱疹性咽峡炎绝大部分并发症很少，但单纯的高热也可以引起抽搐。），医院输液。
怎么护理：
提示：疱疹性咽峡炎是病*所致，服用抗生素无效，所以不要用抗生素！
如何预防？
帮助孩子勤洗手、吃熟食、喝干净水，注意加强日常锻炼，居室勤通风、被褥常晾晒、玩具多消*，公共场合尽量少去
疱疹性咽峡炎的高发期，家长要做好预防工作，如果发现孩子发烧不退的同时口腔里起水疱，医院进行治疗。同时，督促孩子加强锻炼，保持充足休息，以增强自身抵抗力。
来源：广东疾控、健健康康成长记、芽芽科技、公共卫生与预防医学
天河中心幼儿园
长按