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目的:分析肺炎支原体肺炎(MPP)合并不完全川崎病(KD)的临床特点,以提高对MPP合并不完全KD的认识和诊治水平。方法:分析2例MPP合并不完全KD的临床资料,并复习相关文献。结果:MPP与不完全KD在临床上均可表现发热时间长、出皮疹,实验室检查均可出现C-反应蛋白(CRP)增高、血沉(ESR)增快等,有着很多类似的地方。结论:虽然MPP合并不完全KD并不多见,但当MPP患者同时出现2或3项KD的主要临床表现,需警惕是否合并有不完全KD,应及时作心脏B超及相关的实验室检查协助诊断,以防漏诊、误诊。
Objective: To analyze the clinical features of Mycoplasma pneumoniae pneumonia (MPP) combined with incomplete Kawasaki disease (KD) so as to improve the understanding and diagnosis of incomplete KD with MPP. Methods: Two cases of MPP with incomplete KD were analyzed, and relevant literature was reviewed. RESULTS: Both MPP and incomplete KD showed clinically significant long-term fever, rash and laboratory tests with elevated C-reactive protein (CRP) and increased ESR. There were many similarities. Conclusions: Although MPP is not completely KD combined rare, but when MPP patients with two or three KD at the same time the main clinical manifestations, the need to be vigilant with incomplete KD, should be timely for heart B ultrasound and related laboratory tests To help diagnose, to prevent missed diagnosis, misdiagnosis.