川崎病合并支原体感染14例诊治体会  

Experience on Fourteen Cases of Kawasaki Disease Associated with Mycoplasma Pneumoniae Infection

作　　者：黄云[1] 黄路圣[1] 叶林华[1] 

机构地区：[1]江苏省泰兴市人民医院,江苏泰兴225400

出　　处：《泰州职业技术学院学报》2011年第6期86-87,共2页Journal of Taizhou Polytechnic College

摘　　要：目的探讨小儿川崎病合并支原体感染的临床特征及诊治体会。方法对临床诊断为川崎病合并支原体感染的患儿进行回顾性分析。结果 14例患儿均有发热;球结合膜充血13例,皮疹8例,口腔粘膜改变14例,手足硬性水肿、指(趾)脱皮14例,颈部淋巴结肿大12例,卡痕、肛周粘膜潮红5例。白细胞增高、血C R P增高9例,心脏彩超示冠状动脉病变(C AL)2例。所有患儿均用阿奇霉素序贯治疗,并早期大剂量人血丙种球蛋白(IVIG)及阿司匹林、潘生丁治疗,13例治愈,1例呈IVIG不反应,再次予以IVIG后痊愈。结论肺炎支原体可能参与川崎病的发病。Purpose： Discussing the clinical features and experiences of diagnosis and treatment of Kawasaki disease with Mycoplasma pneumoniae infection in children;Methods：A retrospective analysis of children suffering from Kawasaki disease associated with Mycoplasma pneumoniae infection;Results： 14 cases had fever symptoms,hyperemia of conjunctiva bulbar in 13 cases;tetter in 8 cases;Alterations of oral mucosa in 14 cases;Foot rigidly edema,means（toe） peeling in 14 cases;Cervical lymph nodes in 12 cases;BCG mark,flushing of anal mucosa in 5 cases.Increased leukocyte,blood CRP hypertension 9 cases,Cardiac ultrasound and coronary artery lesions（CAL） in 2 cases.All of the children were treated by Azithromycin Sequential,early high-dose intravenous immunoglobulin（IVIG） aspirin,and dipyridamole,13 cases were cured,the other 1 case had no IVIG reaction,IVIG again to be recovered.Conclusions： Mycoplasma pneumoniae may be involved in the pathogenesis of Kawasaki disease.

关 键 词：川崎病 肺炎支原体 

分 类 号：R725[医药卫生—儿科]