Diagnosis and treatment of neurogenic pulmonary edema in children with severe hand, foot and mouth disease

Abstract

Severe hand foot and mouth disease can lead to death when accompanied by neurogenic pulmonary edema. Early identifying involvement of central nervous system, focusing on the evidences of excited sympathetic nerve tension and high risks of neurogenic pulmonary edema, monitoring respiratory rate,dyspnea, cyanosis, fine and medium rales in lungs are critical to prognosis. Managing fluid loading strictly, decreasing intracranial hypertension, supporting actively respiratory function and strengthening airway management are key points for the treatment of neurogenic pulmonary edema. Key words: Severe hand foot and mouth disease ; Neurogenic pulmonary edema; Diagnosis; Treatment