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川崎病(Kawasaki disease,KD),又称皮肤粘膜淋巴结综合征,该病主要发生于小儿,多见于8岁以下,85%发生在5岁以下,男孩发病是女孩的两倍。KD的主要临床表现是:持续5天以上的皮疹性发热;皮肤粘膜弥漫性潮红;球结膜充血;颈部淋巴结一过性肿大;手足硬性浮肿及模样皮。其主要并发症为冠状血管受累,形成冠状血管扩张或冠状动脉瘤。 国内采用无创性二维超声心动图作为诊断及随访川崎病合并冠状动脉损害,指导临床用药。但在临床应用过程中,我们体会到川崎病合并冠状动脉瘤者并不多见,而对于合并冠状动脉扩张的早期患儿,
Kawasaki disease (KD), also known as mucocutaneous lymph node syndrome, occurs mainly in infants, more than 8 years of age, 85% of those under 5, and twice as many boys as girls. The main clinical manifestations of KD are: rash fever lasting more than 5 days; diffuse flushing of the skin and mucous membranes; hyperemia of the conjunctiva; transient enlargement of the cervical lymph nodes; The main complication is coronary vascular involvement, the formation of coronary vasodilation or coronary aneurysms. Domestic use of non-invasive two-dimensional echocardiography as a diagnosis and follow-up of Kawasaki disease with coronary lesions, to guide clinical medication. However, in the clinical application process, we realize that Kawasaki disease complicated with coronary aneurysms are rare, but for early coronary artery dilatation in children,