川崎病的诊断要点

Diagnosis of Kawasaki disease

典型川崎病的诊断标准包括:(1)发热5 d或以上,抗生素治疗无效;(2)四肢末端在急性期充血、硬肿,亚急性期指趾端有膜状脱皮;(3)多形性皮疹;(4)双侧球结膜充血;(5)口唇红肿,皲裂,杨梅舌;(6)非化脓性颈部淋巴结肿大。其中,发热为必备条件,具备以上6条中的5条或以上时可确诊川崎病。值得注意的是,由于川崎病的诊断标准无特异性,必须注意排除其他有类似表现的疾病才能做出正确的诊断。

Typical diagnostic criteria for Kawasaki disease （KD） include： （ 1 ）the fever more than 5 days and invalid treatment with antibiotics; （2）changes in distal extremities, includ- ing erythema and edema of the hands and feet at acute phase and periungua] desquamation of the fingers and toes at subacute phase ; （3） polymorphous eruption ; （4） bilateral bulbar conjunetival injection without exudate; （5）erythema of the lips, fissured lips and strawberry tongue; （6）cervical lymph- adenopathy. The diagnostic criteria for classical KD include fever as essential condition accompanied hy at least 5 of 6 items. It is important to note that there may be other diseases with similar performance, because of the non-specific diagnosis criteria for Kawasaki disease.