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目的分析不完全川崎病(IKD)临床及实验室特点,以便早期诊断及治疗。方法对如皋市人民医院2005-01-2010-10收治的32例IKD进行回顾性分析。结果 IKD婴幼儿多见,早期最常见的临床表现是发热,口唇潮红、皲裂、杨梅舌,球结膜充血,肛周潮红、脱屑等,多数伴有白细胞总数(WBC)、C-反应蛋白(CRP)升高,血沉(ESR)增快及血小板计数(PLT)升高。结论对持续发热5 d以上的婴幼儿,具备发热在内的川崎病(KD)2~4项诊断标准,同时WBC、CPR、ESR增高,应及早按IKD治疗,以防止冠状动脉病变(CAL)的发生。
Objective To analyze the clinical and laboratory features of incomplete Kawasaki disease (IKD) for early diagnosis and treatment. Methods Retrospective analysis was performed on 32 cases of IKD admitted to Rugao People’s Hospital from January 2005 to October 2010. Results IKD infants and young children more common early early clinical manifestations are fever, lip flush, chapped, bayberry tongue, conjunctival hyperemia, perianal flushing, scaling and so on, most associated with the total number of white blood cells (WBC), C-reactive protein CRP), increased ESR and increased platelet count (PLT). Conclusions For infants and young children with persistent fever of more than 5 days, 2 to 4 diagnostic criteria of KD with fever are found. Meanwhile, the WBC, CPR and ESR levels should be increased and IKD should be treated as early as possible to prevent coronary artery disease (CAL) happened.