Kawasaki observation and nursing care.docVIP

 PAGE \* MERGEFORMAT 7 Kawasaki observation and nursing care Kawasaki disease, also known as mucocutaneous lymph node syndrome, is a systemic vasculitis of unknown cause inflammation to allergic systemic vasculitis as the main pathological changes in connective tissue diseases, for children with common febrile rash illness, which is characterized by fever with rash, conjunctiva and oral mucosa congestion, neck lymph node swelling and finger (toe) end of the early recovery period associated with hard swelling of the specificity of membrane peeling, the main manifestations of acute fever, skin and mucous membrane lesions and enlarged lymph nodes, The most obvious is coronary artery disease that can lead to coronary aneurysm and other lethal diseases, more common age of onset to 80% of infants and young children 5 years of age. The following observation and nursing of the illness reported as follows: A clinical data 23 cases of children in this group 14 males and 9 females, aged 2-6 years, an average of 4 years old. Observation of two conditions 2.1 Observation of fever Early mostly high fever, body temperature at 39 ℃ and above, showed remittent fever type, heat range up to 1-2 weeks, fever, body temperature closely monitored during the change. 2.2 Observation of skin and mucous membrane Can occur in children with fever 1-3 days after the skin and mucous membrane damage, manifested as blood scarlet fever rash. Maculopapular rash, or a variety of erythema rash, self-limiting within 1 week to observe whether the perianal skin flushing, or desquamation, fever at the same time, there may be diffuse hyperemia of oral mucosa erosion, lips Yinghong dry, swollen, red bayberry tongue, tongue face a small ulcer, followed by bleeding, chapped, but also hard of hand, foot swelling, conjunctival hyperemia eyes. 2.3 Observation of cardiovascular damage High risk of cardiovascular damage in the 2-3 weeks after onset, during which children should be closely observed m