Analysis of 20 cases of Kawasaki disease in children


~ 50ram/h9 example, 50 ~ 102mm/h8 cases. C-reactive protein checked 20 cases, 20t ~ / d15 cases. Rheumatoid factor, antinuclear antibody test, 13 cases were negative. Blood culture in 11 cases, including two cases of Staphylococcus aureus growth, the growth of more than sterile. 1.3.4 echocardiography 20 cases found that coronary artery dilatation in 10 cases, coronary artery aneurysms,diesel jean sale, heart effusion in 1 case, 9 cases of normal echocardiography. Chest in 18 cases, 11 cases of bronchitis prompted changes in two cases prompted bronchial pneumonia, 5 cases of normal. 1.4 treatment of choice for diagnosis of aspirin enteric-coated tablets 30 ~ 50mg / l ~ / d,ugg boots norge, 3 times 121. Reduction of heat back 3 ~ 5mg/kg/d, continuous medication until the symptoms disappear, erythrocyte sedimentation rate,franklin marshall pas cher, c-reactive protein to normal, about 1 to 3 months. Fever within 10 days were given high-dose intravenous gamma globulin 0.4g/kg/d, once every 3 - 5 days or 1. Og / kg / d, once every 2 days. Another Jiapan centimes anticoagulant 3 ~ 5rng / l ~ / d, orally to normal until coronary artery dilatation. And the application of energy mixture, vitamin C and other adjuvant therapy. 2 Results: 20 cases were cured in 15 cases. Improved in 4 cases [2J, and 1 died. 1 case of death of 1-year-old children with the merger in February I degrees of malnutrition, and echocardiography suggesting the formation of coronary artery aneurysms, cardiac cavity effusions, fever period due to sudden heart attack died. Improvement in the four cases were coronary artery dilatation, the coronary artery dilation is more important than the other six cases. 2 cases of bronchial pneumonia, chest X-ray prompt changes are still taking aspirin, dipyridamole. Vitc and so on. 3 Discussion of Kawasaki disease, also known as mucocutaneous lymph node syndrome, is an immune-mediated etiology has not been clear differences, with systemic vasculitis as the main lesion of acute febrile rash illness in children, some children may be violations of coronary artery disease or the formation of aneurysm, which can occur in a small number of children with coronary artery stenosis or occlusion, or even lead to myocardial infarction and other serious 61lfn vascular disease [. is group of children aged 4 months to 4 years 10 months, average (18.1 ± 7.8) months, so the disease is more common in infants and young children, and no significant seasonal incidence. 75% of children admitted to hospital when there is fever, conjunctival hyperemia, red chapped lips, skin rash, swollen hands and feet hard, swollen lymph nodes and other typical clinical manifestations, but sometimes the obvious typical symptoms early in the course, must rule out other acute febrile diseases, it is sometimes it is inevitable misdiagnosis. e group of patients in the two cases were misdiagnosed as Staphylococcus aureus sepsis, antibiotic-sensitive applications such as treatment of S. aureus 3 to 4 days is invalid. Heat range 7 to 8 days found that children with hand, foot end, perianal, scrotum membrane peeling,nike store, with children had a rash during fever, conjunctival hyperemia, bayberry tongue and other performance considerations Kawasaki disease, aspirin, high-dose static C class patients were cured after treatment. Currently the early diagnosis of Kawasaki disease without specific examination methods, diagnosis is based on six main clinical manifestations, but the recent increase in cases is not typical,écharpe Burberry soldes, that the clinical manifestations of Kawasaki disease can not meet current diagnostic criteria, resulting in misdiagnosis remains high, erefore, early diagnosis of Kawasaki disease is particularly concerned about the clinical problem. [] Reported that some of the literature on atypical Kawasaki Hospital conducted a study of early diagnosis, for clinical reference summarizes the following characteristics: ① infants a high proportion of atypical Kawasaki disease; ② unexplained persistent fever accompanied by phenomenon; ③ cervical lymph nodes only in the leading edge of the sternocleidomastoid muscle; ④ BCG vaccination site, swelling induration; ⑤ anal flushing, peeling; ⑥ scrotal skin flushing; 0 platelet count was significantly higher; ⑧ echocardiography prompt coronary expansion or reflux. Echocardiography early diagnosis of Kawasaki disease is an effective noninvasive method, about 60% of coronary artery dilatation in the course 1O days, about 70% of heart effusion occurs in the course of 8 days. erefore, the clinical sustained fever, can not meet current diagnostic criteria for Kawasaki disease, with one or more of the clinical features of fever and other diseases can not be explained, should be done as soon as possible cardiac ultrasound examination, and pay attention to looking for other characteristics of Kawasaki disease for early confirm the diagnosis.