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患儿,男,10岁。因发热4天,头痛、腹痛3天入院。时有恶心,呕吐。尿少。于当地曾按“食物中毒”予以补液治疗。既往体健。体检:体温38℃,脉搏140次/分,呼吸35次/分,血压8/3kPa。精神差,全身皮肤充血,手足底硬性水肿。两侧颌下及腹股沟可触及黄豆大小淋巴结,活动,无压痛。双眼球结膜充血,口唇殷红、皲裂,口腔粘膜糜烂,杨梅舌。心律规整,率140次/分。腹软,脐周轻压痛。血白细胞14.6×10~9/L,中性0.88,淋巴0.12,血小板72×10~9/L,血沉45mm/h。二氧化碳结合力13.5mmol/L,转氨酶105U,蛋白电泳:A29.9％,α_16.5％,α_222.4％,β9.7％,γ31.5％。乳酸脱氢酶330U/L,α-羟丁酸脱氢酶402U/L,肌酸磷酸激酶756U/L心电图:Q-T间期延长。诊断:川崎病,低
Children, male, 10 years old. 4 days due to fever, headache, abdominal pain 3 days admission. When nausea, vomiting. Less urine. In the local once according to “food poisoning” to rehydration therapy. Past physical health. Physical examination: body temperature 38 ℃, pulse 140 beats / min, breathing 35 beats / min, blood pressure 8 / 3kPa. Poor spirit, systemic skin congestion, hand and foot hard edema. Both sides of the submandibular and groin can reach the size of the lymph nodes, activity, no tenderness. Eyes conjunctival hyperemia, lips red, chapped, oral mucosal erosion, bayberry tongue. Heart rhythm, rate 140 beats / min. Abdomen soft, tender tenderness around the umbilical cord. Blood leukocyte 14.6 × 10 ~ 9 / L, neutral 0.88, lymphatic 0.12, platelet 72 × 10 ~ 9 / L, erythrocyte sedimentation rate 45mm / h. Carbon dioxide binding capacity of 13.5mmol / L, transaminase 105U, protein electrophoresis: A29.9%, α_16.5%, α_222.4%, β9.7%, γ31.5%. Lactate dehydrogenase 330U / L, α-hydroxybutyrate dehydrogenase 402U / L, creatine phosphokinase 756U / L ECG: Q-T interval prolongation. Diagnosis: Kawasaki disease, low