Clinical analysis of 21 cases of Kawasaki disease.docVIP

 PAGE \* MERGEFORMAT 10 Clinical analysis of 21 cases of Kawasaki disease [Keywords:] disease, diagnosis, treatment Kawasaki disease (KD in children during an acute febrile vasculitis, the potential danger is that coronary artery lesions, severe cases can endanger the lives of children. Now 21 cases of KD patients in our hospital clinical data were retrospectively analyzed to improve the clinical diagnosis and treatment of KD. 1 Materials and Methods 1.1 Department study of 21 cases in our department in July 1997 ~ June 2007 hospitalized cases with complete data. 1.2 The diagnostic criteria for typical KD diagnostic criteria: fever more than 5 days, accompanied by the following five clinical features in at least four persons, the exclusion of other diseases, you can diagnose KD. (1 limbs change: Acute palmoplantar erythema, edema of limbs rigid , recovery Zhi Zhi-side membrane peeling, (2 polymorphic rash, (3 bilateral eye conjunctival congestion, (4 congestive chapped lips, oral mucosa and diffuse hyperemia, bayberry tongue, (5 cervical lymph nodes. not exactly of KD diagnostic criteria: fever more than 5 days, more than 5 clinical manifestations were less than 4. coronary artery lesions (CAL diagnostic criteria: (1 Echocardiography coronary artery, 3-year-old coronarygt; = 2.5 mm, ~ 9 Coronary agegt; = 3.0 mm, 14-year-old coronarygt; = 3.5 mm, (2 coronary artery aneurysms (CAA coronary artery diameter of 4 ~ 7 mm. 1.3 Reference laboratory diagnostic index of C-reactive protein in acutegt; 30 mg / L, ESRgt; 40 mm / h. 1.4 In this set of data treatment, all patients were given aspirin after diagnosis, 30 ~ 50 mg / (kg · d), points 2 to 3 times a day orally, hot back 3 to 5 days to give 3 ~ 5 mg / ( kg · d), to maintain oral. there were 17 patients who received intravenous immunoglobulin (IVIG treatment, 13 patients received a single 1 ~ 2 g / kg, 4 patients received 250 ~ 400 mg / (kg · d), 3 ~ 5 days. except 1 patient receiving time is 16