我也记不清这是最近碰到的第几宗手足口症案例了。根据卫生部至5月中旬的统计，全国共有9822宗手足口症，虽然不比去年此刻大暴发时来得高，但也不能掉以轻心。5岁以下的孩童尤为高风险群，儿童聚集地例如幼儿园、托儿所等等是手足口症主要传播的地方。这疾病通常是由肠病毒（Human Enterovirus）引起，潜伏期约为4到6天。病发初期通常会出现高温、喉咙痛、食欲不振、疲倦等症状。发烧1-2天后，口腔内会产生水泡逐渐形成溃疡，手脚也会出现红斑或水泡。
由肠病毒引起
“肠病毒（Human Enterovirus）是由六七十种不同类型但性质相似的微小核糖核酸病毒（Picornaviridae）所组成的一个大家庭。其中，柯萨奇病毒（Coxsackievirus）A16，A5，A9，A10，B2，B5以及肠病毒71（Enterovirus 71）是主要导致手足口症的元凶。由于能够引发手足口症的病毒种类繁多，曾患上手足口症的孩童是有可能再次患上手足口症的！”
患上手足口症怎么办？
手足口症是种自限性（Self-limiting）疾病，简单来说，患者自身会产生抗体对抗病毒，然后慢慢自愈。话虽如此，发病的首几天通常是父母心力交瘁的煎熬期。反复的高烧，加上口腔溃疡造成的疼痛及缺乏食欲，真是雪上加霜、火上加油！这时候，正确地使用退烧药、物理降温、利用喉咙喷雾降低疼痛感、确保足够的水分摄取量，是各位父母的首要任务。极少数的不幸案例会发生并发症，倘若症状愈发严重，及时求医才是上上之策！
患有手足口症的儿童何时应该去看医生？
- 无法有足够的水分／奶摄取量
- 精神萎靡不振、极度疲倦，甚至抽搐
- 持续高烧（>38°C）超过48小时
- 患病儿童伴有其他疾病例如免疫系统衰弱、心血管疾病
- 年龄少于6个月
手足口症除了会让口腔内产生的水泡逐渐形成溃疡，手脚也会出现红斑或水泡。
最后，还是老话一句“预防胜于治疗”。既然我们晓得手足口症是通过接触水泡内的液体、唾液、甚至粪便得以传播，那么保持环境干净卫生是至关重要的。勤用肥皂或洗手液且遵循正确的洗手步骤，戴好口罩，不共用餐具，清洗消毒常用物品例如玩具、桌椅等，都能大幅度地减轻传染力度。已患上手足口症的儿童也必须隔离至少10天才能返回学校，以避免传染下一位小朋友或甚至引发感染群。
这年头，细菌病毒千奇百怪、层出不穷！愿天下父母在这条育儿路上乘风破浪、披荆斩棘！大家共勉之！
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