中国实用儿科杂志

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川崎病的诊断要点

  

  1. 广州市妇女儿童医疗中心心脏内科,广东  广州  510180
  • 出版日期:2017-08-06 发布日期:2017-07-28

Diagnosis of Kawasaki disease

  1. Heart Center, Guangzhou Women and Children’s Medical Center,Guangzhou  510180, China
  • Online:2017-08-06 Published:2017-07-28

摘要:

典型川崎病的诊断标准包括:(1)发热5 d或以上,抗生素治疗无效;(2)四肢末端在急性期充血、硬肿,亚急性期指趾端有膜状脱皮;(3)多形性皮疹;(4)双侧球结膜充血;(5)口唇红肿,皲裂,杨梅舌;(6)非化脓性颈部淋巴结肿大。其中,发热为必备条件, 具备以上6条中的5条或以上时可确诊川崎病。值得注意的是,由于川崎病的诊断标准无特异性,必须注意排除其他有类似表现的疾病才能做出正确的诊断。

关键词: 川崎病, 临床表现, 诊断, 鉴别诊断

Abstract:

Typical diagnostic criteria for Kawasaki disease(KD) include:(1)the fever more than 5 days and invalid treatment with antibiotics;(2)changes in distal extremities, including erythema and edema of the hands and feet at acute phase and periungual desquamation of the fingers and toes at subacute phase;(3)polymorphous eruption;(4)bilateral bulbar conjunctival injection without exudate;(5)erythema of the lips, fissured lips and strawberry tongue;(6)cervical lymphadenopathy. The diagnostic criteria for classical KD include fever as essential condition accompanied by at least 5 of 6 items. It is important to note that there may be other diseases with similar performance,because of the non-specific diagnosis criteria for Kawasaki disease.

Key words: Kawasaki disease, clinical manifestation, diagnosis, differential diagnosis