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川崎病是近几年才发现的一种儿童冠心病。其特点:高热、皮肤粘膜受累、颈部淋巴结肿大,常因冠状动脉炎而致心源性休克、心尖部收缩期杂音,心电图出现心肌梗塞,冠状T波、心律失常、高度心脏扩大,甚至造成猝死。如果患儿年龄小,持续发烧2周以上,血沉增快超过4周、心音遥远、奔马律、R波电压降低,P-R以及Q-T延长,心源性酶浓度增高、冠状动脉造影发现异常,如冠状动脉瘤、冠状动脉管壁不规则及狭窄等即可怀疑此病。
Kawasaki disease is only found in recent years, a child coronary heart disease. Its characteristics: high fever, skin and mucous membrane involvement, cervical lymph nodes, often due to coronary heart disease caused by cardiogenic shock, apical systolic murmur, ECG myocardial infarction, coronary T wave, arrhythmia, high heart enlargement, and even Cause sudden death. If the child is young, persistent fever for more than 2 weeks, ESR more than 4 weeks, heart sounds far, gallop, R wave voltage reduction, PR and QT prolongation, cardiac enzyme concentration increased, coronary angiography findings were abnormal, such as Coronary aneurysms, coronary artery wall irregularities and stenosis can be suspected of the disease.