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患者男性,4岁。因发热9天,颈部淋巴结肿大,双侧腮腺肿大,曾诊断为“腮腺炎”,“颈部淋巴结炎”,经抗菌素治疗无效,病程中发现两眼球结膜充血,口唇干裂,四肢末端硬肿,趾(指)甲变脆,舌质红,呈杨梅舌,心脏听诊心动过速,化验:血沉77mm/h,血白细胞26.8×10P/L。根据以上临床表现确诊为川畸病。行心脏彩超检查,超声所见:左右冠状动脉起源位置正常,左冠状动脉开口处内径25mm,主干扩张59mm,左前降支近端呈瘤样扩张,最宽处内径70mm,右冠状动脉开口处内径29mm,主干呈瘤样扩张,最宽处内径
Male patient, 4 years old. Due to fever for 9 days, neck lymph nodes, bilateral parotid gland enlargement, had been diagnosed as “mumps”, “cervical lymphadenitis”, the antibiotic treatment is invalid, found in the course of two conjunctival hyperemia, chapped lips, extremities Hard to swollen, toe (finger) A brittle, red tongue, was Bayberry tongue, auscultatory heart tachycardia, test: erythrocyte sedimentation rate 77mm / h, white blood cells 26.8 × 10P / L. According to the above clinical manifestations diagnosed as Kawasaki disease. Right heart ultrasound examination, ultrasound findings: the location of the left and right coronary origin, the diameter of the left coronary artery opening 25mm, the main expansion of 59mm, the left anterior descending branch was tumor-like dilatation, the widest point of the inner diameter of 70mm, the diameter of the right coronary artery opening 29mm, the trunk was tumor-like expansion, the widest point diameter