[摘 要] 目的：探讨重症手足口病患儿的早期临床特点、治疗和观察护理。方法：对18例有早期重症征象的手足口病患儿实施常规护理外，重点加强对神经、循环等系统的观察，积极配合治疗，注视皮肤、口腔、心理、气道等综合护理。结果：18例重症手足口病患儿均治愈出院，平均住院天数为11.9天，无死亡病例。结论：严密监测生命体征，尽早发现重症手足口病的早期临床表现，采取相应的早期救治及护理措施，是阻止重症向危重症转变减少死亡率的有效护理手段。

    [关键词] 手足口病；重症早期特点；治疗；护理

    [Abstract] Objective： To discuss the early treatment and nursing of children with Severe Hand-foot-mouth Disease {HFMD}. Methods： In 18 cases with early severe Symptom of children with HFMD implement Conventionalnursing care, to strengthen the focus on the nervous, circulatory system of observation, actively cooperate with the treatment; strengthen the psychological, airway comprehensive care and so on. Results 18 cases with severe HFMD were cured and discharged, the average Length of hospital stay is 12.5 days. No deaths. Conclusion It concluded that completing clinical observation, discovering the early clinical manifestation with the critically ill as soon as possible, adopting the corresponding early treatment and the nursing interventions, could prevent critically ill from danger critically ill with HFMD,it is the effective key to reduce mortality rate. ......