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目的探讨不典型川崎病的临床特点及早期诊断。方法对34例不典型川崎病患儿的临床资料进行回顾性分析。结果最常见及最早出现的临床表现是发热、眼球结膜充血和唇红皲裂;肛周皮肤潮红、蜕皮、卡介苗瘢痕红肿、WBC、ESR、CRP增高有早期诊断价值;冠状动脉病变最早出现在发病后4d。结论在临床表现不足时结合辅助检查和综合分析有助于提高不典型川崎病的早期诊断率。
Objective To investigate the clinical features and early diagnosis of atypical Kawasaki disease. Methods The clinical data of 34 cases of atypical Kawasaki disease were retrospectively analyzed. Results The most common and earliest clinical manifestations were fever, conjunctival hyperemia and lip red chapped; perianal skin flushing, molting, BCG scar swelling, WBC, ESR, CRP increased early diagnostic value; coronary lesions first appeared in the pathogenesis 4d. Conclusion When clinical manifestations are inadequate, combined with laboratory examinations and comprehensive analysis can help improve the early diagnosis of atypical Kawasaki disease.