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本文报告一男孩,3岁3个月。高热(40.5℃),全身有橙、粉红色的皮疹和多发性关节炎,不能步行。给予阿斯匹林70毫克/公斤/天,病情不能控制。第12天后患儿出现吸气性喘鸣,给予地塞米松2毫克,每天2次,连用6天;又换用强的松15毫克,隔日晨服1次,连用4天后停。他的呼吸越来越困难,可见咽下区的过度扩张。由于呼吸道梗阻的进展,第2天施行了气管造口术。接着阿斯匹林增加到140毫克/公斤/天,患儿关节炎好转,拔出了气管套管。但在
This article reports a boy, 3 years and 3 months. High fever (40.5 ℃), the body has orange, pink rashes and multiple arthritis, can not walk. Give aspirin 70 mg / kg / day, the condition can not be controlled. 12 days after the onset of aspiration wheezing, given dexamethasone 2 mg, 2 times daily, once every 6 days; and for prednisone 15 mg, morning service the next day 1, once every 4 days after stopping. His breathing more and more difficult, we can see over-expansion of swallowing area. Due to the progress of airway obstruction, tracheostomy was performed on the second day. Then aspirin increased to 140 mg / kg / day, arthritis improved, pull out the tracheal tube. But in