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患儿,男,8月,因“发热3天,皮疹半天”于2001年11月15日入院。入院吋查体:T40.6℃,一般情况差,颜面、躯干可见充血性粟粒疹,双眼结膜充血,无分泌物,口唇皲裂,颈部可触及3～4枚1×1×1.5cm淋巴结,双肺,心率:228次/min,律齐,心音低钝,无杂音,腹软,肝右肋下3.5cm,四肢无硬肿,入院诊断:发热,皮疹原因待查。住院第3d皮疹消退,但体温持续下降,并出现杨梅舌,卡介苗接种处皮肤红肿,阴囊及肛周皮肤红肿,指(趾)端硬性水肿(?)诊断:川崎病(?)腹部B超提示:肝肾损伤声像图,脾轻度肿大,腹腔积液(?)心脏彩超于病程第2周检查示:少量心包积液,逐渐发展到左右冠状动脉直径5.3mm,中量心包积液(?)病程第6周左
Children, male, August, “3 days fever, skin rash half day” was admitted on November 15, 2001. Admission-inch examination: T40.6 ℃, the general situation is poor, facial, trunk visible congestive popliteal, conjunctival congestion, no secretions, chapped lips, the neck can reach 3 to 4 1 × 1 × 1.5cm lymph nodes, Lungs, heart rate: 228 times / min, law Qi, low heart sound blunt, no noise, abdominal soft, right rib under the liver 3.5cm, no swelling of the limbs, admission diagnosis: fever, rash cause to be investigated. In the third day of hospitalization, the rash subsided, but the body temperature continued to decrease. There were skin swelling in the bayberry tongue, BCG vaccination, swollen skin in the scrotum and perianal area, and hard edema on the digit (?). Diagnosis: Kawasaki disease : Liver and kidney injury sound image, mild splenomegaly, ascites (?) Echocardiography over the course of the second week of examination showed: a small amount of pericardial effusion, and gradually developed to the left and right coronary artery diameter of 5.3mm, the amount of pericardial effusion (?) Duration 6 weeks left