对川崎病误诊2例分析如下。1病历摘要例1:女,2岁。主因发热伴烦躁哭闹4 d入院。入院时查体:T 39.8℃,P 140次/min,R 30次/min,精神差,烦躁易激惹,咽部充血,扁桃体I度肿大,无结膜充血及口唇皲裂,颈部右侧可触及一枚约0.5 cm×0.5 cm大小淋巴结,质地中等,活动度好。颈部抵抗,两肺呼吸音清,HR 140次/min,心音有力,律齐无杂音。腹部平软,肝右肋下约1.5 cm,质地软边缘锐,脾未触及,肠鸣音存在。四肢肌张力正常,脑膜刺激征(+),babinski征(-)。初步诊断:病毒性脑炎。辅助检查 Two cases of Kawasaki disease misdiagnosis are as follows. 1 case summary 1: female, 2 years old. Mainly due to fever and irritability crying 4 d admission. Admission examination: T 39.8 ℃, P 140 times / min, R 30 times / min, poor spirit, irritability irritability, pharyngeal congestion, tonsil I degree enlargement, no conjunctival congestion and lip chapped, the right side of the neck Can reach a size of about 0.5 cm × 0.5 cm lymph nodes, medium texture, good activity. Neck resistance, lung breath sounds clear, HR 140 beats / min, powerful heart sounds, law Qi no noise. Abdomen is soft, about 1.5 cm under the right rib of the liver, texture soft edge sharp, spleen not touched, bowel sounds exist. Limb muscle tone normal, meningeal irritation (+), babinski sign (-). Initial diagnosis: viral encephalitis. Auxiliary examination