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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: To improve the diagnosis and treatment of pediatric Kawasaki disease. Methods: Fifteen children with Kawasaki disease were analyzed clinically. Results: The disease with fever, mucositis, rash, cervical lymph node enlargement and extremity changes for its clinical features. The early misdiagnosis rate as high as 70%. Conclusion: The disease should be associated with suppurative lymphadenitis, infectious mononucleosis, scarlet fever, rheumatic fever and other identification. Mainly with oral aspirin and intravenous gamma globulin treatment, the prognosis is good.