小儿川崎病

Childhood Kawasaki disease

目的:提高对小儿川崎病诊断和治疗水平。方法:对15例川崎病患儿进行临床分析。结果:本病以发热、粘膜炎、皮疹、颈淋巴结肿大和肢端改变为其临床特征。本组早期误诊率高达70%。结论:本病需与化脓性淋巴结炎、传染性单核细胞增多症、猩红热、风湿热等鉴别。主要用口服阿斯匹林及静脉注射丙种球蛋白治疗,预后良好。

Objective:In order to improve the diagnosis and treatment for Kawasaki disease. Methods:The clinical manifestation of Kawasaki disease in 15 cases was analyzed. Results:The patients were featured with symptoms of fever, mucitis, rash, cervical lymphadenopathy, extremity abnormalities. 70% patients were misdiagnosed in early stage because of nonspecific clinical manifestation. Conclusion:It is needed to make differential diagnosis with purulent lymphadenitis, infectious mononucleosis, scarlet fever, rheumatic fever et al. Oral aspirin and IVGG were involved in the treatment. The prognosis was excellent.