علاج مرض اليد والقدم والفم مع اضطراب الجهاز العصبي اللاإرادي وفشل القلب والرئة

References

• Established cardiopulmonary failure represents the last and most severe stage of the disease and is associated with very poor outcomes.
• In addition to evidence of ANS dysregulation, it is characterized by hypotension, shock, pulmonary oedema, pulmonary haemorrhage and heart failure.
• Children at this stage invariably require mechanical ventilation and multiple inotropes (milrinone, dobutamine, dopamine, epinephrine).
• Judicious intravenous fluid therapy.