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目的:探讨川崎病的误诊原因,提高预防措施。方法:对曾被误诊的16例川崎病小儿临床资料进行回顾性分析。结果:小婴儿和较大儿童误诊率高,小婴儿首发症状除发热外均以各种并发症出现,如脑炎、肺炎、淋巴结炎;较大儿童易误诊为支原体肺炎、猩红热、咽结合膜热、药疹、类风湿等。结论:疑似川崎病尤其是小婴儿和较大儿童及时行相关医技检查,早确诊、正确治疗是预防误诊减少冠状动脉损害的关键。
Objective: To explore the causes of misdiagnosis of Kawasaki disease and to improve preventive measures. Methods: The clinical data of 16 children with Kawasaki disease that had been misdiagnosed were retrospectively analyzed. Results: The incidence of misdiagnosis in small infants and older children was high. The onset symptoms of small infants were all accompanied by various complications, such as encephalitis, pneumonia and lymphadenitis. Older children were easily misdiagnosed as mycoplasma pneumonia, scarlet fever, pharyngeal conjunctival fever, drug eruption , Rheumatoid and so on. Conclusion: Kawasaki disease suspected especially in infants and older children in a timely manner related to medical examination, early diagnosis and correct treatment is to prevent misdiagnosis of coronary artery lesions to reduce the key.