以腹泻为首发症状的婴儿不完全川崎病早期诊断探讨

To study the early diagnosis of infantile incomplete kawasaki disease with diarrhea as first symptom

目的探讨以腹泻为首发症状的不完全川崎病（KD）早期诊断方法。方法对以腹泻起病的婴儿不完全川崎病16例进行回顾性分析。结果9例（56．3％）出现冠状动脉损害，结合出现2—4条KD的表现，确诊为KD。结论具有持续发热5d以上抗生素治疗无效等2～4务KD表现，伴血象、CRP、ESR明显增高。PLT进行性增高，应高度警惕KD，早期做心脏彩超检查，如有冠脉的改变即可诊断；早期应用丙种球蛋白，以减少冠状动脉病变发生。

Objective Early diagnosis method of incomplete Kawasaki disease（KD） with diarrhea as first symptom. Methods Analysis infantile incomplete kawasaki disease of 16 cases with diarrhea.Results 9 cases coronary Impairment（56.3% ） ,Diagnosed as KD with 2 - 4 strip maifestations. Conclusion KD diagnosed if over 5 days fever and antibiotics ineffective and significantly increasing of hemogram, CRP, ESR, PLT. Infantile may carry UCG as soon as possible to help early diagnosis. IVIG can reduce pathologic changes of coronary artery in Kawasaki disease.