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目的:探讨川崎病的临床特点及早期诊断。方法:对收治的28例川崎病进行回顾性分析。分析临床特征,实验室检查及冠状动脉受损情况。结果:肛周脱皮及手足硬肿是川崎病特有且早期表现,急性期血沉快大于40㎜/L,CRP〉30㎎/L,血清白蛋白小于30g/L,免疫球蛋白正常,血小板多正常,1例急性期降低到44万,10天后均升高,大于450万。心包积液和少量腹水急性期也常见。结论:川崎病诊断靠详细询问病史,仔细全面体格检查,必要的实验室及超声检查。排除感染出疹性疾病而作出临床诊断。
Objective: To explore the clinical features and early diagnosis of Kawasaki disease. Methods: 28 cases of Kawasaki disease were analyzed retrospectively. Analysis of clinical features, laboratory tests and coronary artery damage. Results: Perianal peeling and hand-foot-sclerosis were unique and early manifestation of Kawasaki disease. The ESR rate in acute stage was more than 40 mm / L, CRP> 30 cm / L, serum albumin was less than 30g / L, immunoglobulin was normal and platelet was normal , 1 cases of acute phase reduced to 440000, 10 days after the rise, more than 4.5 million. Pericardial effusion and a small amount of ascites acute phase is also common. Conclusion: Kawasaki disease diagnosis by detailed history, careful and comprehensive physical examination, the necessary laboratory and ultrasound. Exclude rash from infection and make a clinical diagnosis.