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患儿,男,3岁,因发热右耳后包块5天,皮疹3天入院,查体:T:38.5℃,热病容,全身皮肤呈现血疹或多形性球疹样皮损,双眼结合膜充血,唇皲裂,杨梅舌,双肢、双手肿帐;双侧颈部、耳后多个肿大淋巴结,其中右侧耳后淋巴结约5×4cm。符合川崎病的诊断。给予阿斯匹宁80mg/kg·日口服及青霉素肌注或静注。三天后体温降至正常。待体温持续正常三天后改阿斯匹宁7mg/kg·日(西欧推荐剂量),以后体温持续正常,皮疹消散,淋巴结基本消散,指趾末梢膜状脱屑,超声心动图正常,体温正常二周后出院,继续上剂量阿斯匹宁口服。
Children, male, 3 years old, due to fever right ear mass 5 days after the rash 3 days admission, examination: T: 38.5 ℃, fever, systemic skin rash or pleomorphic rash-like lesions, eyes Combined with membrane congestion, lip chapped, bayberry tongue, limbs, hands swollen account; bilateral neck, ear after multiple swollen lymph nodes, including the right ear lymph nodes about 5 × 4cm. In line with the diagnosis of Kawasaki disease. Aspirin 80mg / kg · day oral and penicillin intramuscular or intravenous injection. After three days, the temperature dropped to normal. The body temperature was normal after three days to change Aspirin 7mg / kg · day (Western Europe recommended dose), after the body temperature continued to normal, the rash dissipated, the lymph nodes basically dissipated, toe tip membrane scaling, echocardiography normal, normal body temperature two Weeks after discharge, continue oral dose of aspirin.