川崎病诊断过程中需要注意的临床细节

张维华; 沈捷; 张亚乐; 焦富勇

doi:10.7499/j.issn.1008-8830.2208124

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中国当代儿科杂志 ›› 2022, Vol. 24 ›› Issue (12) : 1307-1310. DOI: 10.7499/j.issn.1008-8830.2208124

川崎病专栏

川崎病诊断过程中需要注意的临床细节

张维华¹, 沈捷², 张亚乐¹, 焦富勇³

作者信息 +

Clinical details in the diagnosis of Kawasaki disease

ZHANG Wei-Hua, SHEN Jie, ZHANG Ya-Le, JIAO Fu-Yong

Author information +

文章历史 +

摘要

川崎病（Kawasaki disease，KD）是5岁以下儿童后天获得性心脏病的主要原因之一。KD的临床表现包括发热、四肢末梢改变、皮疹或卡介苗接种处红肿、双侧球结膜充血、口唇和口腔改变、颈部淋巴结非化脓性肿大及全身其他系统表现。由于KD临床表现的不同步性造成其诊断困难，该文参考最新KD病例报道及研究进展，对KD诊断过程中需要注意的临床细节进行总结，以提高临床诊断水平。

Abstract

Kawasaki disease (KD) is one of the leading causes of acquired heart diseases in children aged under 5 years. The clinical manifestations of KD include fever, changes in the extremities, rash or redness at the site of bacille Calmette-Guérin vaccination, bilateral bulbar conjunctival hyperemia, changes in lips and mouth, nonsuppurative cervical lymphadenopathy, and other systemic manifestations. There are difficulties in the diagnosis of KD due to its asynchronous clinical manifestations. With reference to the latest case reports and research advances in KD, this article summarizes the clinical details in the diagnosis of KD, so as to improve the level of clinical diagnosis of KD.

导出引用

张维华, 沈捷, 张亚乐, 焦富勇. 川崎病诊断过程中需要注意的临床细节[J]. 中国当代儿科杂志. 2022, 24(12): 1307-1310 https://doi.org/10.7499/j.issn.1008-8830.2208124

ZHANG Wei-Hua, SHEN Jie, ZHANG Ya-Le, JIAO Fu-Yong. Clinical details in the diagnosis of Kawasaki disease[J]. Chinese Journal of Contemporary Pediatrics. 2022, 24(12): 1307-1310 https://doi.org/10.7499/j.issn.1008-8830.2208124

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