皮肤粘膜淋巴结综合征(附47例次分析)

Mucocutaneous Lymph Node Syndrome An Analysis of 47 Times in 46 Cases

本文报告46例47例次皮肤粘膜淋巴结综合征。男:女为1.6∶1;年龄≤4岁占97.9％;春季发病最高(占42.6％),秋季最低(占6.8％)。诊断中应注意体征可于发热1周后出现,皮疹可于发热前发生,单侧和双侧颈淋巴结肿大病例差异无显著性。二维超声心动图对冠状动脉病变的诊断有重要价值。治疗以阿司匹林、潘生丁和护心疗法为主,但对过高热者可短期使用皮质激素。

Forty seven times of mucocutaneous lymph node syndrome(MLNS) in 46 cases were analysed. It was found that the ratio of male and female was 1.6/1; 97.9% of cases were at the age under or equal to 4 years; 42.6% of patients were discovered in the spring and only 6.4% of cases in the fall. Our data show that the fever may occur one week before appearance of physical sign; the fever may be precedee by rash; and there is no sign-ificant difference between unilateral and bilateral lymphadenopathy. Two-dimensional ultrasonography is very useful in diagnosing coronary involvement. Aspirin, persentin and medication of protecting heart are main treatment for MCLS. A short course of glycocorticoid may be beneficial for controlling of hyperthormia