皮肤粘膜淋巴结综合征冠状动脉改变

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我院收治皮肤粘膜淋巴结综合征(CMLS)15例,其中11例行心脏B超检查,结果报道如下。1 临床资料11例中男9例,女2例。年龄7月~5岁。均符合CMLS诊断标准。发热11例,持续时间9~26天,其中8例体温高于39℃。双眼结膜充血10例;四肢末端硬性水肿10例,甲床皮肤移行处膜样脱皮11例;皮肤红斑9例;11例均有口唇红、干燥及口腔、咽部充血,8例见口唇皲裂及杨莓舌,3例口腔溃疡;颈部淋巴结肿大11例,多以颌下淋巴结肿大为主。此外,尚有肛周脱皮、易激惹、心动过速各8例,心音低钝5例,关节肿痛及颈抵抗感各2例。均有轻度贫血及白细胞增高,白细胞12×10~9~32×10~9/L,以中性为主; In our hospital, 15 cases of mucocutaneous lymph node syndrome (CMLS) were treated, including 11 cases of cardiac B-ultrasound examination, the results reported below. 1 clinical data in 11 cases, 9 males and 2 females. Aged from July to 5 years old. All meet the CMLS diagnostic criteria. Fever in 11 cases, the duration of 9 to 26 days, of which 8 cases were higher than 39 ℃ body temperature. 10 cases of conjunctival hyperemia, 10 cases of extremity end edema, 11 cases of dermatosis of nail bed, 9 cases of skin erythema, 11 cases of red lip, dry mouth and pharynx congestion, 8 cases of lip chapped and lip Yang raspberry tongue, 3 cases of oral ulcer; cervical lymph node enlargement in 11 cases, mostly submandibular lymph nodes based. In addition, there are perianal peeling, irritability, tachycardia in 8 cases, 5 cases of low heart sound blunted, joint swelling and neck resistance in 2 cases. Both mild anemia and leukocytosis, leukocytes 12 × 10 ~ 9 ~ 32 × 10 ~ 9 / L, mainly to neutral;
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