【健康科普】非高峰期，也要警惕手足口病！
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.yilongnews.com/static/publish/css/style.css?v=1605251010502" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=1605251010502"><!-- 付费贴--> <div class="preview_article "> <!----> <section class="article135" style="background-repeat: repeat; background-position: center center; padding: 0px; background-color: #fff6ed; background-size: auto; background-image: none; box-sizing: border-box;" data-role="outer" data-tplid="136896"><section class="_135editor" data-tools="135编辑器" data-id="105041"><section style="font-size: 16px; overflow: hidden; grid-template-rows: 100%; grid-template-columns: 100%; display: grid; max-width: 100% !important; width: 100%; box-sizing: border-box;" data-role="absolute-layout" data-mode="svg" data-width="375" data-height="352" data-ratio="0.9386666666666666"><section style="grid-row-start: 1; grid-column-start: 1; height: 100%;" data-role="ratio"></section><section class="_135editor" style=";width: 100%; margin-top: 0%; margin-left: 0%; grid-row-start: 1; grid-column-start: 1; height: max-content; max-width: 100% !important; line-height: 0; display: block; font-size: 16px; box-sizing: border-box; transform: scale(1); -webkit-transform: scale(1); -moz-transform: scale(1); -o-transform: scale(1);" data-role="block"><img class="" style="overflow: hidden; width: 100%; vertical-align: inherit; box-sizing: border-box; max-width: 100% !important;" draggable="false" src="https://bcn.135editor.com/files/images/editor_styles/a54b1fe2b66116cf719c37d7d44755ae.jpg" data-role="target" data-ratio="1.0666666666666667" data-w="750" /></section><section class="_135editor" style=";width: 100%; margin-top: 32.800000000000004%; margin-left: 0%; grid-row-start: 1; grid-column-start: 1; height: max-content; max-width: 100% !important; line-height: 0; display: block; font-size: 16px; box-sizing: border-box; transform: scale(1); -webkit-transform: scale(1); -moz-transform: scale(1); -o-transform: scale(1);" data-role="block"><section class="" style="overflow: hidden;" data-role="paragraph"><p style="text-align: center;" align="center"><span style="font-size: 2.375em; color: #ff846c;"><strong class="135brush" data-brushtype="text">非高峰期也要</strong></span></p><p style="text-align: center;" align="center"> </p><p style="text-align: center;" align="center"><span style="font-size: 2.375em; color: #ff846c;"><strong class="135brush" data-brushtype="text">警惕手足口病</strong></span></p></section></section></section></section><section class="_135editor" style="margin: 0px 20px; box-sizing: border-box;" data-tools="135编辑器" data-id="136446"><section style="margin: 10px auto;"><section class="" style="display: flex; justify-content: flex-start; margin: 0 0 -15px;"><section style="background-color: #fff6ed; padding: 0 5px; box-sizing: border-box;"><section style="width: 18px; box-sizing: border-box;"></section></section></section><section class="" style="border: 1px solid #ffadab; border-radius: 15px; padding: 15px 25px; box-sizing: border-box;"><section style="text-align: justify; line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background: transparent;"><section class="135brush" data-autoskip="1"><p style="text-indent: 2.1875em; margin-bottom: 5px; display: block;"><span style="font-size: 16px; font-family: arial, helvetica, sans-serif;">入冬以来，各种呼吸道疾病都呈高发态势，其中包括甲流、呼吸道合胞病毒感染、鼻病毒感染、肺炎支原体感染、乙流等，引发了社会的关注。</span></p><p style="text-indent: 2.1875em; margin-bottom: 5px; display: block;"><span style="font-size: 16px; font-family: arial, helvetica, sans-serif;">手足口病经常被认为也是一种呼吸道传染病，但实际上，该病是由肠道病毒感染引起的疾病。虽然是肠道病毒，但是手足口病经呼吸道飞沫、粪口途径等方式传播。</span></p><p style="text-indent: 2.1875em; margin-bottom: 5px; display: block;"><span style="font-size: 16px; font-family: arial, helvetica, sans-serif;">目前虽然不是手足口病的流行高峰期，但医院感染科的手足口病患者仍然为数不少。重症手足口病严重威胁儿童的生命健康，各位家长需给予足够的重视。</span></p></section></section></section><section class="" style="display: flex; justify-content: flex-end; margin: -15px 0 0;"><section style="background-color: #fff6ed; padding: 0 5px; box-sizing: border-box;"><section style="width: 18px; box-sizing: border-box;"></section></section></section></section></section><section style="height: 0px; overflow: hidden;"></section><section class="_135editor" style="margin: 0px 20px; box-sizing: border-box;" data-tools="135编辑器" data-id="136450"><section class="" style="margin: 10px auto 25px; display: flex; justify-content: center;"><section><section class="" style="display: flex; justify-content: flex-start;"><section style="margin: 0 0 -16px -12px;"><section class="" style="font-size: 16px; color: #ffffff; background-color: #ffe6ce; border-radius: 100%; width: 30px; height: 30px; display: flex; justify-content: center; align-items: center; text-shadow: 0.063em 0.063em 0.063em #ffd151; box-sizing: border-box;"><section class="assistant" style="width: 16px; box-sizing: border-box;"></section></section><section style="display: flex; justify-content: flex-end; margin: -5px 0 0;"><section class="" style="width: 10px; box-sizing: border-box;"></section></section></section></section><section class="" style="border: 1px none #ffffff; padding: 2px 25px; box-sizing: border-box; background-color: #ff846c; border-radius: 25px;"><section class="" style="font-size: 16px; color: #ffffff; text-align: center;"><strong class="135brush" data-brushtype="text">手足口病的典型症状</strong></section></section></section></section></section><section style="height: 0px; overflow: hidden;"></section><section class="_135editor" style="margin: 0px 20px; box-sizing: border-box;" data-tools="135编辑器" data-id="136457"><section style="margin: 10px auto;"><section class="" style="width: 100%; margin: 5px 0 3px; max-width: 100% !important; box-sizing: border-box;" data-width="100%"><img style="width: 100%; display: block; border-radius: 14px; vertical-align: inherit; box-sizing: border-box; max-width: 100% !important;" draggable="false" src="https://bexp.135editor.com/files/users/872/8724773/202402/4Tehbcku_XZ9J.jpg?auth_key=1707667199-0-0-842c62d6fa8733c92c14cf0c22772eb0" alt="640.jpg" data-width="100%" data-ratio="0.4255555555555556" data-w="900" /></section></section></section><section class="_135editor" style="margin: 0px 20px; box-sizing: border-box;" data-tools="135编辑器" data-id="136457"><section style="margin: 10px auto;"><section class="" style="background-color: #ffffff; padding: 18px; border-radius: 14px; box-sizing: border-box;"><section class="" style="text-align: justify; line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background: transparent; padding: 10px 0px; box-sizing: border-box;"><section class="135brush" data-autoskip="1"><p style="max-inline-size: 100%; margin: 0px 0px 5px; padding: 0px; clear: both; min-height: 1em; cursor: text; color: #000000; font-size: 17px; caret-color: #ff0000; text-decoration-thickness: initial; text-indent: 2.1875em; display: block; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; text-align: justify; font-family: 微软雅黑, 'Microsoft YaHei', sans-serif;" align="justify"><span style="background-color: transparent; font-size: 16px; font-family: arial, helvetica, sans-serif;">手足口病一般好发于5岁以下儿童。大多数手足口病患者都会发热，并在手脚、口腔、臀部等部位出现疱疹，可伴有咳嗽、流涕、咽痛、食欲不振等症状。大部分患者可于2周内痊愈。</span></p><p style="max-inline-size: 100%; margin: 0px 0px 5px; padding: 0px; clear: both; min-height: 1em; cursor: text; color: #000000; font-size: 17px; caret-color: #ff0000; text-decoration-thickness: initial; text-indent: 2.1875em; display: block; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; text-align: justify; font-family: 微软雅黑, 'Microsoft YaHei', sans-serif;" align="justify"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; cursor: text; font-size: 16px; font-family: arial, helvetica, sans-serif;">典型手足口病的皮疹分布和形态有一定特点，识别度高。而隐性感染或不典型手足口病则容易漏诊，比如皮疹可蔓延至四肢关节，不局限于手、足、口等部位，皮疹呈丘疹、斑丘疹样、大疱样改变，有时可见瘀点、瘀斑。</span></p></section></section></section></section></section><section class=""><p> </p></section><section class="_135editor" style="margin: 0px 20px; box-sizing: border-box;" data-tools="135编辑器" data-id="136450"><section class="" style="margin: 10px auto 25px; display: flex; justify-content: center;"><section><section class="" style="display: flex; justify-content: flex-start;"><section style="margin: 0 0 -16px -12px;"><section class="" style="font-size: 16px; color: #ffffff; background-color: #ffe6ce; border-radius: 100%; width: 30px; height: 30px; display: flex; justify-content: center; align-items: center; text-shadow: 0.063em 0.063em 0.063em #ffd151; box-sizing: border-box;"><section class="assistant" style="width: 16px; box-sizing: border-box;"></section></section><section class="" style="display: flex; justify-content: flex-end; margin: -5px 0 0;"><section style="width: 10px; box-sizing: border-box;"></section></section></section></section><section class="" style="border: 1px none #ffffff; padding: 2px 25px; box-sizing: border-box; background-color: #ff846c; border-radius: 25px;"><section style="font-size: 16px; color: #ffffff; text-align: center;"><strong class="135brush" data-brushtype="text">手足口病的新特点</strong></section></section></section></section></section><section class="_135editor" style="margin: 0px 20px; box-sizing: border-box;" data-tools="135编辑器" data-id="136457"><section style="margin: 10px auto;"><section class="" style="background-color: #ffffff; padding: 18px; border-radius: 14px; box-sizing: border-box;"><section><section class="" style="padding: 10px 15px; box-sizing: border-box; background-color: #fffaf5; border: 0px solid #ffe790;"><section class="" style="text-align: justify; line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background: transparent; padding: 10px 0px; box-sizing: border-box;"><section class="135brush" data-autoskip="1"><p style="max-inline-size: 100%; margin: 0px 0px 5px; padding: 0px; clear: both; min-height: 1em; cursor: text; color: #000000; font-size: 17px; caret-color: #ff0000; text-decoration-thickness: initial; text-indent: 2.1875em; display: block; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; text-align: justify; font-family: 微软雅黑, 'Microsoft YaHei', sans-serif;" align="justify"><span style="font-size: 16px; background-color: transparent; font-family: arial, helvetica, sans-serif;">从临床接诊手足口病患者的情况来看，近期的手足口病患者有一些新的特点。</span></p><p style="max-inline-size: 100%; margin: 0px 0px 5px; padding: 0px; clear: both; min-height: 1em; cursor: text; color: #000000; font-size: 17px; caret-color: #ff0000; text-decoration-thickness: initial; text-indent: 2.1875em; display: block; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; text-align: justify; font-family: 微软雅黑, 'Microsoft YaHei', sans-serif;" align="justify"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; cursor: text; font-size: 16px; font-family: arial, helvetica, sans-serif;">首先，过去5岁以内儿童为手足口病的高发人群，约占总发病人数的90%。而2023年秋冬以来，5岁以上手足口病感染者数量增加，甚至还出现了很多一家人同时患病的病例。</span></p><p style="max-inline-size: 100%; margin: 0px 0px 5px; padding: 0px; clear: both; min-height: 1em; cursor: text; color: #000000; font-size: 17px; caret-color: #ff0000; text-decoration-thickness: initial; text-indent: 2.1875em; display: block; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; text-align: justify; font-family: 微软雅黑, 'Microsoft YaHei', sans-serif;" align="justify"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; cursor: text; font-size: 16px; font-family: arial, helvetica, sans-serif;">其次，近10年手足口病呈持续低水平流行，引起手足口病的肠道病毒中的柯萨奇病毒A组16型（CoxA16）和肠道病毒71（EV71）为优势毒株，感染后手足口病的皮疹主要分布在手脚、口腔、臀部等部位，识别度高。而入冬以来，临床发现皮疹形态不典型的手足口病病例增加，丘疹样皮疹更多见，这可能和感染其他肠道病毒有关。</span></p><p style="max-inline-size: 100%; margin: 0px 0px 5px; padding: 0px; clear: both; min-height: 1em; cursor: text; color: #000000; font-size: 17px; caret-color: #ff0000; text-decoration-thickness: initial; text-indent: 2.1875em; display: block; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; text-align: justify; font-family: 微软雅黑, 'Microsoft YaHei', sans-serif;" align="justify"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; cursor: text; font-size: 16px; font-family: arial, helvetica, sans-serif;">因此，面对不典型手足口病，临床医生更需要与水痘、湿疹、蚊虫叮咬、猩红热等皮疹相鉴别。大于5岁的手足口病患儿症状更加不典型，有的孩子只出现咽痛，无发热及皮疹，临床上容易被漏诊。这部分漏诊的患儿又成为手足口病重要的传染源。</span></p></section></section></section></section><section style="height: 0px; overflow: hidden;"></section></section></section></section><section class=""><p> </p></section><section class="_135editor" style="margin: 0px 20px; box-sizing: border-box;" data-tools="135编辑器" data-id="136450"><section class="" style="margin: 10px 2px 10px 0px; display: flex; justify-content: center; box-sizing: border-box;"><section><section class="" style="display: flex; justify-content: flex-start;"><section style="margin: 0 0 -16px -12px;"><section style="font-size: 16px; color: #ffffff; background-color: #ffe6ce; border-radius: 100%; width: 30px; height: 30px; display: flex; justify-content: center; align-items: center; text-shadow: 0.063em 0.063em 0.063em #ffd151; box-sizing: border-box;"><section class="assistant" style="width: 16px; box-sizing: border-box;"></section></section><section style="display: flex; justify-content: flex-end; margin: -5px 0 0;"><section style="width: 10px; box-sizing: border-box;"></section></section></section></section><section class="" style="border: 1px none #ffffff; padding: 2px 25px; box-sizing: border-box; background-color: #ff846c; border-radius: 25px;"><section class="" style="font-size: 16px; color: #ffffff; text-align: center;"><strong class="135brush" data-brushtype="text">识别不典型手足口病的挑战</strong></section></section></section></section></section><section class=""><section class="_135editor" data-role="paragraph"><p> </p></section><section class="_135editor" style="margin: 0px 20px; box-sizing: border-box;" data-tools="135编辑器" data-id="136457"><section style="margin: 10px auto;"><section class="" style="width: 100%; margin: 5px 0 3px; max-width: 100% !important; box-sizing: border-box;" data-width="100%"><img style="width: 100%; display: block; border-radius: 14px; vertical-align: inherit; box-sizing: border-box; max-width: 100% !important;" draggable="false" src="https://bexp.135editor.com/files/users/872/8724773/202402/N4WDLHNv_4e5W.jpg?auth_key=1707667199-0-0-470dc9270af0cfe96c1ee021fa7a00b0" alt="640 (1).jpg" data-width="100%" data-ratio="0.4255555555555556" data-w="900" /></section></section></section><section class="_135editor" style="margin: 0px 20px; box-sizing: border-box;" data-tools="135编辑器" data-id="136457"><section style="margin: 10px auto;"><section class="" style="background-color: #ffffff; padding: 18px; border-radius: 14px; box-sizing: border-box;"><section class="" style="text-align: justify; line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background: transparent; padding: 10px 0px; box-sizing: border-box;"><section class="135brush" data-autoskip="1"><p style="max-inline-size: 100%; margin: 0px 0px 5px; padding: 0px; clear: both; min-height: 1em; cursor: text; color: #000000; font-size: 17px; caret-color: #ff0000; text-decoration-thickness: initial; text-indent: 2.1875em; display: block; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; text-align: justify; font-family: 微软雅黑, 'Microsoft YaHei', sans-serif;" align="justify"><span style="background-color: transparent; font-size: 16px; caret-color: red; color: #333333; font-family: arial, helvetica, sans-serif;">重视手足口病流行病学史，了解好发年龄的变化，熟悉手足口病的不典型表现，都有助于早期诊断不典型手足口病。</span></p><p style="max-inline-size: 100%; margin: 0px 0px 5px; padding: 0px; clear: both; min-height: 1em; cursor: text; color: #000000; font-size: 17px; caret-color: #ff0000; text-decoration-thickness: initial; text-indent: 2.1875em; display: block; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; text-align: justify; font-family: 微软雅黑, 'Microsoft YaHei', sans-serif;" align="justify"><span style="background-color: transparent; font-size: 16px; caret-color: red; color: #333333; font-family: arial, helvetica, sans-serif;">口腔疱疹对手足口病的诊断有重要的提示意义，但部分不典型的手足口病例可以仅表现为皮疹，不伴口腔疱疹；或仅表现为疱疹性咽峡炎，不伴皮疹；某些特定类型的肠道病毒感染后还会出现大疱样皮疹改变。肠道病毒核酸或者抗原检测对明确病原有帮助，但检测存在假阴性的可能，检测阴性并不能排除手足口病。</span></p><p style="max-inline-size: 100%; margin: 0px 0px 5px; padding: 0px; clear: both; min-height: 1em; cursor: text; color: #000000; font-size: 17px; caret-color: #ff0000; text-decoration-thickness: initial; text-indent: 2.1875em; display: block; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; text-align: justify; font-family: 微软雅黑, 'Microsoft YaHei', sans-serif;" align="justify"><span style="background-color: transparent; font-size: 16px; caret-color: red; color: #333333; font-family: arial, helvetica, sans-serif;">而且，由于手足口病的病原可能有很多亚型，大部分医疗机构能做的检测项目有限，这些都影响了检测的敏感性。</span></p></section></section></section></section></section><section class=""><p> </p></section><section class="_135editor" style="margin: 0px 20px; box-sizing: border-box;" data-tools="135编辑器" data-id="136450"><section class="" style="margin: 10px auto 25px; display: flex; justify-content: center;"><section><section class="" style="display: flex; justify-content: flex-start;"><section class="" style="margin: 0 0 -16px -12px;"><section class="" style="font-size: 16px; color: #ffffff; background-color: #ffe6ce; border-radius: 100%; width: 30px; height: 30px; display: flex; justify-content: center; align-items: center; text-shadow: 0.063em 0.063em 0.063em #ffd151; box-sizing: border-box;"><section class="assistant" style="width: 16px; box-sizing: border-box;"></section></section><section style="display: flex; justify-content: flex-end; margin: -5px 0 0;"><section style="width: 10px; box-sizing: border-box;"></section></section></section></section><section class="" style="border: 1px none #ffffff; padding: 2px 25px; box-sizing: border-box; background-color: #ff846c; border-radius: 25px;"><section class="" style="font-size: 16px; color: #ffffff; text-align: center;"><strong class="135brush" data-brushtype="text">治疗中容易陷入的误区</strong></section></section></section></section></section><section class="_135editor" style="margin: 0px 20px; box-sizing: border-box;" data-tools="135编辑器" data-id="136457"><section style="margin: 10px auto;"><section class="" style="background-color: #ffffff; padding: 18px; border-radius: 14px; box-sizing: border-box;"><section><section class="" style="padding: 10px 15px; box-sizing: border-box; background-color: #fffaf5; border: 0px solid #ffe790;"><section class="" style="text-align: justify; line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background: transparent; padding: 10px 0px; box-sizing: border-box;"><section class="135brush" data-autoskip="1"><p style="max-inline-size: 100%; margin: 0px 0px 5px; padding: 0px; clear: both; min-height: 1em; cursor: text; color: #000000; font-size: 17px; caret-color: #ff0000; text-decoration-thickness: initial; text-indent: 2.1875em; display: block; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; text-align: justify; font-family: 微软雅黑, 'Microsoft YaHei', sans-serif;" align="justify"><strong><span style="background-color: transparent; font-size: 16px; font-family: arial, helvetica, sans-serif;">1.滥用抗生素：</span></strong><span style="background-color: transparent; font-size: 16px; font-family: arial, helvetica, sans-serif;">手足口病是病毒感染，多数患者白细胞不高，但是部分重症手足口病患者的白细胞和C反应蛋白可升高。抗生素是治疗细菌感染的，不能常规用于治疗手足口病，有合并细菌感染者例外。</span></p><p style="max-inline-size: 100%; margin: 0px; padding: 0px; clear: both; min-height: 1em; cursor: text; color: #000000; font-size: 17px; caret-color: #ff0000; text-decoration-thickness: initial; text-indent: 2.1875em; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; text-align: justify; font-family: 微软雅黑, 'Microsoft YaHei', sans-serif;" align="justify"><strong><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; cursor: text; font-size: 16px; font-family: arial, helvetica, sans-serif;">2.手足口病无特效抗病毒药：</span></strong><span style="background-color: transparent; font-size: 16px; font-family: arial, helvetica, sans-serif;">有研究显示疾病早期使用干扰素α雾化或喷雾、静滴利巴韦林可有一定疗效，但利巴韦林因不良反应和生殖毒性已很少使用。奥司他韦仅是流感的特效药，对手足口病无效。引起手足口病的肠道病毒是RNA病毒，而阿昔洛韦是治疗DNA病毒的，对手足口病无效。请家长切勿病急乱用药。</span></p><p style="max-inline-size: 100%; margin: 0px; padding: 0px; clear: both; min-height: 1em; cursor: text; color: #000000; font-size: 17px; caret-color: #ff0000; text-decoration-thickness: initial; text-indent: 2.1875em; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; font-family: 微软雅黑, 'Microsoft YaHei', sans-serif;"><strong><span style="font-size: 16px; background-color: transparent; font-family: arial, helvetica, sans-serif;">3.得一次手足口病并不能一劳永逸：</span></strong><span style="background-color: transparent; font-size: 16px; font-family: arial, helvetica, sans-serif;">与水痘不同，手足口病并非只得一次就能获得长久的免疫。感染手足口病的肠道病毒血清型较多，得一次仅能对该病毒亚型产生一段时间的免疫力，因缺乏交叉抗原，接触另外一种肠道病毒可能再次感染手足口病。约10%的儿童会重复感染手足口病，重复感染多见于3岁以下儿童，并且多于首次患病后2年内发生。</span></p><p style="max-inline-size: 100%; margin: 5px 0px 0px; padding: 0px; clear: both; min-height: 1em; cursor: text; color: #000000; font-size: 17px; caret-color: #ff0000; text-decoration-thickness: initial; text-indent: 0em; display: block; box-sizing: border-box !important; overflow-wrap: break-word !important; outline: none 0px !important; font-family: 微软雅黑, 'Microsoft YaHei', sans-serif;"><span style="background-color: transparent; font-size: 16px; font-family: arial, helvetica, sans-serif;"><img style="vertical-align: inherit; width: 100%; box-sizing: border-box; max-width: 100% !important;" draggable="false" src="https://bexp.135editor.com/files/users/872/8724773/202402/e4RrebIw_dIOY.jpg?auth_key=1707667199-0-0-9cec115e4e6e08883e248de5c4240abe" alt="640 (2).jpg" data-ratio="0.4255555555555556" data-w="900" /></span></p></section></section></section></section></section></section></section><p> </p></section><section class=""><section class="_135editor" style="margin: 0px 20px; box-sizing: border-box;" data-tools="135编辑器" data-id="136450"><section class="" style="margin: 10px auto 25px; display: flex; justify-content: center;"><section class=""><section class="" style="display: flex; justify-content: flex-start;"><section class="" style="margin: 0 0 -16px -12px;"><section class="" style="font-size: 16px; color: #ffffff; background-color: #ffe6ce; border-radius: 100%; width: 30px; height: 30px; display: flex; justify-content: center; align-items: center; text-shadow: 0.063em 0.063em 0.063em #ffd151; box-sizing: border-box;"><section class="assistant" style="width: 16px; box-sizing: border-box;"></section></section><section style="display: flex; justify-content: flex-end; margin: -5px 0 0;"><section style="width: 10px; box-sizing: border-box;"></section></section></section></section><section class="" style="border: 1px none #ffffff; padding: 2px 25px; box-sizing: border-box; background-color: #ff846c; border-radius: 25px;"><section class="" style="font-size: 16px; color: #ffffff; text-align: center;"><p>防治手足口病 家长这样做</p></section></section></section></section></section><p style="margin-bottom: 5px; display: block; text-align: center;" align="center"><img style="vertical-align: inherit; width: 100%; box-sizing: border-box; max-width: 100% !important;" src="https://bexp.135editor.com/files/users/872/8724773/202402/WGt8NEGR_5fTp.jpg?auth_key=1707667199-0-0-89cbe836c9fa5e77b9f197e811592e01" alt="640 (3).jpg" data-ratio="0.6694444444444444" data-w="720" /></p></section><section class=""><p style="margin-bottom: 5px; display: block;"><img style="vertical-align: inherit; width: 100%; box-sizing: border-box; max-width: 100% !important;" src="https://bexp.135editor.com/files/users/872/8724773/202402/PaLqhVHm_3f4M.jpg?auth_key=1707667199-0-0-13815b4369931ed5f777ef7bda35c489" alt="640 (4).jpg" data-ratio="0.5958333333333333" data-w="720" /></p><p style="margin-bottom: 5px; display: block;"><img style="vertical-align: inherit; width: 100%; box-sizing: border-box; max-width: 100% !important;" src="https://bexp.135editor.com/files/users/872/8724773/202402/JK9uU7WF_v7aY.jpg?auth_key=1707667199-0-0-b172ca79226525d0047e5e1d387e9e21" alt="640 (5).jpg" data-ratio="0.5958333333333333" data-w="720" /></p><p style="margin-bottom: 5px; display: block;"><img style="vertical-align: inherit; width: 100%; box-sizing: border-box; max-width: 100% !important;" src="https://bexp.135editor.com/files/users/872/8724773/202402/Mf8BEPhy_HzhW.jpg?auth_key=1707667199-0-0-4b0708b2f5062ac87f405ddeba47f44c" alt="640 (6).jpg" data-ratio="0.9083333333333333" data-w="720" /></p></section><section class=""><p> </p><section class="_135editor" data-tools="135编辑器" data-id="138376"><section style="margin: 10px auto; display: flex; justify-content: center;"><section style="display: flex; align-items: flex-start;"><section style="flex-shrink: 0; margin-top: -6px; z-index: 9;"><section class="assistant" style="width: 15px; box-sizing: border-box;"></section></section><section style="background-color: #ffe9db; border-radius: 25px; margin-left: -7px; box-sizing: border-box;"><section style="background-color: #ffbe98; border-radius: 25px; padding: 3px 15px; box-sizing: border-box; transform: translate(-3px,-3px); -webkit-transform: translate(-3px,-3px); -moz-transform: translate(-3px,-3px); -o-transform: translate(-3px,-3px);"><section style="font-size: 16px; color: #ffffff; text-align: center;"><strong class="135brush" data-brushtype="text">END</strong></section></section></section></section></section></section></section></section> <!----></div> 赞赞赞赞赞赞赞赞赞赞 谢谢分享！！！！ 赞赞赞赞赞赞赞赞赞赞赞赞 点赞点赞点赞点赞 对的对的对的对的 预防为主，防治结合，
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