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目的探讨总结非完全川崎病(KD)的早期诊断。方法总结分析4例以肺部表现为首发症状的不完全KD的临床表现及实验室资料。结果 4例患儿均发热持续5d以上,不具备典型KD的临床表现,C反应蛋白及血沉明显增高,血小板进行性增高,心脏彩超均提示冠状动脉增粗而确诊。结论非完全KD可以累及某一脏器表现而起病,可结合实验室指标以早期诊断或拟诊,及时治疗,改善预后。
Objective To summarize the early diagnosis of incomplete Kawasaki disease (KD). Methods The clinical manifestations and laboratory data of 4 cases of incomplete KD with pulmonary manifestations as the first symptom were summarized and analyzed. Results All the 4 children were fever over 5 days and did not have the clinical manifestations of typical KD. C - reactive protein and erythrocyte sedimentation rate were significantly increased, platelet progressively increased, and all of them showed diagnosis of coronary thickening. Conclusion Incomplete KD can affect the performance of an organ, and can be combined with laboratory indicators to early diagnosis or diagnosis, timely treatment and improve prognosis.