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目的探讨不完全川崎病(KD)的误诊原因并分析。方法回顾性分析总结21例不完全KD的临床资料。结果 21例均有不规则发热,伴皮疹12例(57.1%)口腔黏膜症状9例(42.8%),结膜充血8例(38.1%),肢端肛周脱皮6例(28.6%),淋巴肿大5例(23.8%)。查血WBC、ESR、CRP 21例均升高,PLT 20例升高,1例降低。心脏彩超检查显示冠状动脉损伤10例(47.6%)。结论充分认识不完全KD的临床特点,及时行心脏彩超,争取早诊断,早治疗,必要时可试验性治疗,应用IVIG,减少冠状动脉损伤(Coronary artery lesion,CAL)发生率,改善预后。
Objective To investigate the causes of misdiagnosis of incomplete Kawasaki disease (KD). Methods The clinical data of 21 cases with incomplete KD were retrospectively analyzed and summarized. Results All the 21 cases had irregular fever, with 12 cases (57.1%) with rash in 9 cases (42.8%), conjunctival hyperemia in 8 cases (38.1%), perianal perianal peeling in 6 cases (28.6%), lymphoma Large five cases (23.8%). 21 cases of WBC, ESR and CRP were detected, 20 cases of PLT were elevated and 1 case was decreased. Echocardiography showed coronary artery injury in 10 cases (47.6%). Conclusion The clinical features of incomplete KD are fully recognized. Cardiac Doppler echocardiography is performed in time for early diagnosis and early treatment. If necessary, experimental treatment may be used. IVIG may be used to reduce the incidence of coronary artery lesion (CAL) and improve prognosis.