疱疹性咽颊炎

1、herpangina,h:pndain疱疹性咽峡炎是由肠道病毒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，呈散发或流行，夏秋季为高发季节，一般病程46日，重者可至2周。Herpangina is caused by intestinal virus with acute fever and pharynx isthmus, herpes ulcer disease, characterized by dung - the mouth as the main route of transmission, or respiratory trac

2、t infection, transmission is fast, a distributed or popular, fall for the season, the general course of 4 6, the person that weigh can be to 2 weeks.病因1.本病病原体种类很多，以柯萨奇A组病毒（16、8、10、22）、疱疹病毒、EB病毒较多见，偶尔也有其他肠道病毒所引起。当劳累过度，过敏体质，气温突变、身体受凉或某些物理、化学因素等刺激，使身体免疫能力低下，易患此病。2.呼吸道屏障功能不足，呼吸道黏膜柔嫩，呼吸道分泌抵抗细菌、病毒的免疫物质不足，

3、呼吸道上的这种纤毛活动比较微弱，“自洁”功能差。The cause of1. A lot of more phyletic, the disease pathogens with coxsackie virus group A (1 6, 8, 10, 22), herpes virus, epstein-barr virus more see, occasionally there are other intestinal virus caused.When overworked, allergic constitution, and the temperature mutations, t

4、he body catch cold catch cold, or some physical and chemical factors stimulation, make the bodys immune ability is low, susceptible to the disease.2. Lack of respiratory barrier function, respiratory tract mucous membrane, soft, respiratory tract secretion to resist bacteria, viruses, immune materia

5、l shortage, the cilia on the respiratory activity is weak, self-cleaning function.临床表现该病主要表现为急骤发热，可持续高热或反复高热，咽痛，吞咽时尤甚，有时诉头痛、腹痛或肌痛；血常规检查大多是血细胞计数正常或略低。起病2日内口腔黏膜出现少数（很少多于12个）小的（直径12mm）灰白色疱疹，周围绕以红晕，多见于扁桃体前部，但也可位于软腭，扁桃体，悬雍垂，舌部等，在以后的24小时内水疱破溃变为浅溃疡，直径一般在5毫米以下，15日内愈合。检查实验室检查白细胞计数增高，取咽部疱液或粪便，经组织培养或接种于乳鼠可得致病病

6、毒，同时可取急性期及恢复期血清进行特殊的中和抗体、补体结合或血凝抑制试验，以助确诊。诊断可根据症状和特征性口腔损害作出诊断。最好通过从损害处分离到病毒或通过特征性抗体滴度升高加以证实，但这些检查并不推荐常规采用。鉴别诊断1.疱疹性口腔炎，Herpetic stomatitis其特点为任何季节均可发病，呈现更大的，持续更久的溃疡。2.复发性口疮和贝氏（Bednar）口疮很少发生于咽部，而且一般无全身症状。3.柯萨奇A组10型病毒也会引起类似病变（淋巴结性咽炎），但口咽部损害突出，呈现白色到黄色小结，治疗为对症处理。治疗主要是对症治疗。注意口腔卫生，保持口腔清洁。可用淡盐水漱口，用10%硝酸银涂于

7、溃疡处或用咽喉灵丹，冰硼散等吹播咽部以减轻咽痛症状。口服维生素C及B等。抗生素对病毒性咽炎无效。但如有发热，应给予抗菌药物治疗，以便控制继发性细菌感染。Mainly symptomatic treatment.Pay attention to oral hygiene, keep the mouth clean.Available weak brine gargle, with 10% of silver nitrate on canker sore or with throat magic, ice boron powder such as blowing pharyngeal to alleviate the symptoms of sore throat.Oral vitamin C and B, etc.Antibiotics for viral pharyngitis is invalid.But if you have fever, should give antibacterial drugs, in order to control secondary bacterial infection.1.原发病治疗2.局部治疗（1）采用复方硼