女性,5岁。高热4天,眼球结膜充血3天并右颈肿痛,拉冻状物1次入院。查体:T38.5℃,HR138次/分,R28次/分。发热貌,发育正常,营养中等,皮肤无皮疹。双眼球结膜充血。咽红,扁桃体Ⅱ°。口唇及舌部无特殊。颈软,右侧颈痛,扪及胸锁乳突肌浅表淋巴结3个,有1.5×1.0cm大小,能移动,压痛明显,无波动感。两肺呼吸音清,心率速,率144次/分,节律齐,病理性杂音(-)。腹平软,肝脾肋下触诊 Female, 5 years old. High fever 4 days, conjunctival hyperemia 3 days and right neck swelling and pain, cold-drawn objects 1 admission. Physical examination: T38.5 ℃, HR138 times / min, R28 times / min. Fever, normal development, moderate nutrition, no skin rash. Eyes conjunctival hyperemia. Throat red, tonsil Ⅱ °. No special lips and tongue. Neck soft, right neck pain, palpable sternocleidomastoid superficial lymph nodes 3, 1.5 × 1.0cm size, can move, tenderness obvious, no fluctuations. Breath sounds clear lungs, heart rate, rate 144 beats / min, rhythm Qi, pathological murmur (-). Abdomen soft, liver and spleen rib palpation