荣耀小政 发表于 2024-4-1 16:23

渭南市妇幼保健院 | 探秘“川崎病”:类似感冒却高热不退,新手父母如何识别?

<div class="wx_rich_media_content" id="jsWxContainer"><section data-role="outer" label="Powered by 135editor.com onekey" style='margin-right: 10px; margin-left: 10px;'><p style='text-align: justify; line-height: 1.75em; text-shadow: none; text-indent: 2.21428em;'><span style='color: rgb(34, 34, 34); font-family: 微软雅黑, "Microsoft YaHei"; letter-spacing: 1.5px; font-size: 16px;'>近期,</span><font color="#222222" face="微软雅黑, Microsoft YaHei"><span style='font-size: 16px; letter-spacing: 1.5px;'>渭南市妇幼保健院</span></font><span style='color: rgb(34, 34, 34); font-family: 微软雅黑, "Microsoft YaHei"; letter-spacing: 1.5px; text-indent: 2.21428em; font-size: 16px;'>儿三科病区有四五个儿童出现感冒发热症状。令人奇怪的是,普通感冒通常几天就会好转,这次这些孩子却高热不退,连抗生素都无效。孩子们眼睛发红,皮肤出疹,烦躁不安,妈妈们心急如焚。这到底是怎么回事</span><span style='color: rgb(34, 34, 34); font-family: 微软雅黑, "Microsoft YaHei"; letter-spacing: 1.5px; font-size: 16px; text-indent: 2.21428em;'>……</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;text-indent: 2.21428em;'><br></span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>去医院后,医生表示这并非感冒,而是</span><span style='font-size: 16px;color: rgb(120, 172, 254);'><strong>“川崎病”</strong></span><span style='font-size: 16px;'>。不仅需要住院,还要进行抽血化验和超声检查,以确定孩子是否有冠脉扩张。这个类似感冒的川崎病究竟是什么?新手父母又该如何识别呢?让我们一起来了解一下吧!</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: center;'><span class="wxart_image" wx-style='display:inline-block;width: 578px;height: 321px;'></span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='color: rgb(120, 172, 254);'><strong><span style='font-size: 16px;'><br></span></strong></span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='color: rgb(120, 172, 254);'><strong><span style='font-size: 16px;'>川崎病,又称皮肤黏膜淋巴结综合征,是一种以全身血管炎为主要病变的急性发热出疹性小儿疾病。</span></strong></span><span style='font-size: 16px;'>1967 年,日本的川崎富作医生首次报道了该疾病。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: center;'><span class="wxart_image" wx-style='display:inline-block;'></span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>本病可发生于婴幼儿,多数患者在5 岁以内,多见于 6 至 18 个月的婴幼儿。男性发病率略高于女性,比例约为 1.5:1。该病在春夏季节较为常见,亚裔人群发病率较高,尤其是日本人。由于易感人群对多种感染病原触发的免疫反应,导致全身性血管炎,主要影响中、小动脉及小静脉。长时间高热不退是常见症状,若冠状动脉受损,可能会导致心功能不全甚至猝死,这是影响预后的关键因素,也是儿童缺血性心脏病的主要原因。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><section data-role="title" data-tools="135编辑器" data-id="136565"><section style='margin: 10px auto;display: flex;justify-content: center;'><section style='display: flex;flex-direction: column;'><section style='display: flex;justify-content: space-between;z-index: 7;'><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section></section><section style='border-width: 1px;border-style: solid;border-color: rgb(87, 184, 246);padding: 4px 25px;margin: -5px 5px;'><section style='font-size: 16px;color: #57b8f6;'><strong data-brushtype="text">川崎病的六大主要临床表现如下:</strong></section></section><section style='display: flex;justify-content: space-between;z-index: 7;'><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section></section></section></section></section><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><section style='text-align: justify;text-indent: 2em;'><span style='font-size: 16px; text-indent: 2.21428em; color: rgb(34, 34, 34); font-family: 微软雅黑, "Microsoft YaHei"; letter-spacing: 1.5px;'>①发热持续 5 天以上。</span><br></section><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>②双眼球结膜充血,无分泌物。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>③口及咽黏膜弥漫性充血,口唇发红、皲裂,出现杨梅舌。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>④非化脓性颈淋巴结肿大,直径超过 1.5 厘米。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>⑤多形性皮疹,主要出现在躯干部,为斑丘疹,不出现水疱和痂皮。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>⑥急性期手足发硬、红肿,掌趾及指趾端有红斑;亚急性期甲床皮肤交界处会有膜样脱皮。</span><span style='text-align: center;color: rgba(0, 0, 0, 0.9);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: var(--articleFontsize);letter-spacing: 0.034em;'></span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'></span></p><section data-role="title" data-tools="135编辑器" data-id="136565"><section style='margin: 10px auto;display: flex;justify-content: center;'><section style='display: flex;flex-direction: column;'><section style='display: flex;justify-content: space-between;z-index: 7;'><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section></section><section style='border-width: 1px;border-style: solid;border-color: rgb(87, 184, 246);padding: 4px 25px;margin: -5px 5px;'><section style='font-size: 16px;color: #57b8f6;'><strong data-brushtype="text">川崎病的临床阶段可分为以下三个:</strong></section></section><section style='display: flex;justify-content: space-between;z-index: 7;'><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section></section></section></section></section><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'>1. 急性期(1-2 周):</span></span></strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'></span>此阶段是诊断和开始治疗的关键时期。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'>2. 亚急性期(3-4 周):</span></span></strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'></span>特征包括退热、唇周皮肤脱屑、血小板增多以及最终形成冠状动脉病变。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'>3. 恢复期(5-8 周):</span></span></strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'></span>所有川崎病症状消失,炎症标志物逐渐减退,指甲凹陷出现。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>大多数川崎病患儿可痊愈,且预后良好。但仍有1%-2%的复发可能。若未得到及时治疗,约 20%-30%的患儿可能出现冠状动脉病变。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><section data-role="title" data-tools="135编辑器" data-id="136565"><section style='margin: 10px auto;display: flex;justify-content: center;'><section style='display: flex;flex-direction: column;'><section style='display: flex;justify-content: space-between;z-index: 7;'><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section></section><section style='border-width: 1px;border-style: solid;border-color: rgb(87, 184, 246);padding: 4px 25px;margin: -5px 5px;'><section style='font-size: 16px;color: #57b8f6;'><strong data-brushtype="text">治疗药物:</strong></section></section><section style='display: flex;justify-content: space-between;z-index: 7;'><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section></section></section></section></section><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>在川崎病急性期,治疗的主要目标是抑制全身性炎症,降低冠状动脉病变的风险。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>1. 免疫球蛋白(IVIG)注射被广泛视为川崎病的“一线疗法”。推荐剂量为 2g/kg 体重,最好在发病前 10 天内给药,如能在前 7 天内给药效果更佳。(对于持续发热或全身性炎症持续的儿童,即使超过 10 天也应使用 IVIG。)</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>2. 阿司匹林(ASA)具有抗炎和抗血小板凝集的功效,常作为川崎病的辅助治疗。在急性期,每日剂量为 30-50mg/kg,发热消退后 48 小时可转换为抗血小板剂量(3-5mg/kg/d)。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><section data-role="title" data-tools="135编辑器" data-id="136565"><section style='margin: 10px auto;display: flex;justify-content: center;'><section style='display: flex;flex-direction: column;'><section style='display: flex;justify-content: space-between;z-index: 7;'><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section></section><section style='border-width: 1px;border-style: solid;border-color: rgb(87, 184, 246);padding: 4px 25px;margin: -5px 5px;'><section style='font-size: 16px;color: #57b8f6;'><strong data-brushtype="text">川崎病的预防措施:</strong></section></section><section style='display: flex;justify-content: space-between;z-index: 7;'><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section></section></section></section></section><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>1. 确保营养充足,以提高免疫力。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: center;'><span class="wxart_image" wx-style='display:inline-block;width: 525px;height: 307px;'></span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'><br></span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>2. 保持良好心态,这对预防疾病至关重要。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>3. 积极运动,增强心肺功能,提高免疫力。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>4. 养成良好的作息习惯,保证充足睡眠,劳逸结合,避免过度劳累。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'><br></span></p><p style='text-align: center;'><span class="wxart_image" wx-style='display:inline-block;'></span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>5. 注意保暖,预防感冒等传染病;勤洗手,保持通风,防止感染。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'>6. 定期体检,全面了解自身状况,早发现早治疗。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><section data-role="title" data-tools="135编辑器" data-id="136565"><section style='margin: 10px auto;display: flex;justify-content: center;'><section style='display: flex;flex-direction: column;'><section style='display: flex;justify-content: space-between;z-index: 7;'><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section></section><section style='border-width: 1px;border-style: solid;border-color: rgb(87, 184, 246);padding: 4px 25px;margin: -5px 5px;'><section style='font-size: 16px;color: #57b8f6;'><strong data-brushtype="text">注意事项:</strong></section></section><section style='display: flex;justify-content: space-between;z-index: 7;'><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section><section style='border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);border-radius: 100%;'><section style='width: 7px;height: 7px;border-radius: 100%;background-color: rgb(255, 206, 115);overflow: hidden;'><br></section></section></section></section></section></section><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'>1. 饮食:</span></span></strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'></span>川崎病患者宜清淡、高热量、高蛋白饮食,忌辛辣、生硬食物,同时要保证足够的营养摄入。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'>2. 治疗:</span></span></strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'></span>川崎病患者需遵医嘱治疗。出院后一般仍需服用阿司匹林,切忌漏服,并注意药物不良反应。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><br></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'>3. 疫苗接种:</span></span></strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'></span>川崎病治疗期间(包括门诊随访治疗)使用过丙种球蛋白的患儿,9 个月内不宜进行麻疹、风疹、腮腺炎等疫苗接种。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><span style='font-size: 16px;'><br></span></p><p style='text-align: center;'><span class="wxart_image" wx-style='display:inline-block;'></span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'><br></span></span></strong></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; text-indent: 2.21428em; font-family: 微软雅黑, "Microsoft YaHei";'><strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'>4. 定期复查:</span></span></strong><span style='font-size: 16px;'><span style='background-color: rgb(182, 228, 253);'></span>除了定期检查血常规,观察血细胞和血小板变化,及时发现和纠正药物不良反应外,无冠状动脉损害的患儿,应在病程的 1 个月、6 个月、1 年、2 年和 5 年进行超声心动图检查;合并冠状动脉病变者缩短时间间期,若有任何不适,及时与医生沟通并进行处理,长期随访。</span></p><p style='text-align: justify; line-height: 1.75em; color: rgb(34, 34, 34); text-shadow: none; letter-spacing: 1.5px; font-family: 微软雅黑, "Microsoft YaHei";' draggable="true"><br></p><p style='text-align:center;'><span style='letter-spacing: 1.5px;line-height: 24.5px;text-decoration-style: solid;text-decoration-color: rgb(34, 34, 34);font-family: 微软雅黑, "Microsoft YaHei";font-size: 16px;color: rgb(120, 172, 254);'><strong>综上</strong></span></p><p style='text-align:center;'><br></p><p style='text-align:center;'><span style='color: rgb(120, 172, 254);'><strong><span style='letter-spacing: 1.5px;line-height: 24.5px;text-decoration-style: solid;text-decoration-color: rgb(34, 34, 34);font-family: 微软雅黑, "Microsoft YaHei";font-size: 16px;'>新手爸妈们生活中遇到宝宝高热不退</span></strong></span></p><p style='text-align:center;'><br></p><p style='text-align:center;'><span style='color: rgb(120, 172, 254);'><strong><span style='letter-spacing: 1.5px;line-height: 24.5px;text-decoration-style: solid;text-decoration-color: rgb(34, 34, 34);font-family: 微软雅黑, "Microsoft YaHei";font-size: 16px;'>要注意观察宝宝有无以上症状</span></strong></span></p><p style='text-align:center;'><br></p><p style='text-align:center;'><span style='color: rgb(120, 172, 254);'><strong><span style='letter-spacing: 1.5px;line-height: 24.5px;text-decoration-style: solid;text-decoration-color: rgb(34, 34, 34);font-family: 微软雅黑, "Microsoft YaHei";font-size: 16px;'>如果有摸不准的</span></strong></span></p><p style='text-align:center;'><br></p><p style='text-align:center;'><span style='color: rgb(120, 172, 254);'><strong><span style='letter-spacing: 1.5px; line-height: 24.5px; text-decoration-style: solid; text-decoration-color: rgb(34, 34, 34); font-family: 微软雅黑, "Microsoft YaHei"; font-size: 16px;'>一定要及时就医哦</span></strong></span></p></section><p style='text-align: right;'><br></p><p style='display: none;'><mp-style-type data-value="3"></mp-style-type></p></div><p></p>

与星河同眠 发表于 2024-4-1 17:00

一起来了解一下吧

孙会玲 发表于 2024-4-1 18:43

提前预防麻烦少。

西部牛仔 发表于 2024-4-1 19:08

现在怪病多的很,

hwa 发表于 2024-4-1 19:55

提高诊疗水平。

Ann123456 发表于 2024-4-1 20:18

注意细菌感染!

~Angel~ 发表于 2024-4-1 20:47

川崎病发现者来自日本

长安三万里 发表于 2024-4-1 21:17

注意细菌感染!

难得糊涂@ 发表于 2024-4-1 21:27

什么是川奇病

我的唯一 发表于 2024-4-1 21:33

提高诊疗水平。
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查看完整版本: 渭南市妇幼保健院 | 探秘“川崎病”:类似感冒却高热不退,新手父母如何识别?