CAJ | 학술논문

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。
목적탐토소인천기병합병지원체감염적림상특정급진치체회。방법대림상진단위천기병합병지원체감염적환인진행회고성분석。결과 14례환인균유발열;구결합막충혈13례,피진8례,구강점막개변14례,수족경성수종、지（지）탈피14례,경부림파결종대12례,잡흔、항주점막조홍5례。백세포증고、혈C R P증고9례,심장채초시관상동맥병변（C AL）2례。소유환인균용아기매소서관치료,병조기대제량인혈병충구단백（IVIG）급아사필림、반생정치료,13례치유,1례정IVIG불반응,재차여이IVIG후전유。결론폐염지원체가능삼여천기병적발병。
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.