Gastrointestinal hemorrhage before anticoagulant therapy in infantile Kawasaki disease:a case report
In this paper,the clinical data of a male child is analyzed to investigate the clinical characteristics and treatment process of infantile Kawasaki disease combined with gastrointestinal bleeding.The child is admitted to the hospital with fever for 2 d.The highest temperature was 39.5℃,and the fever peaked 4-5 times a day.Symptoms and signs are recurrent fever,irritability,poor spirit,conjunctival congestion,red maculopapular rash,scarlet,neck palpable enlarged lymph nodes,flushed lips,chapped,poplar tongue,hard redness and swelling of the ends of the hands and feet,and hepatomegaly.On the 5th day of the disease,coffee-like material was vomited and tarry stools appeared,3-4 times/d,the amount was about 10 ml each time.The patient is treated with gamma globulin,antiplatelet,glucocorticoid,antibiotics in the acute stage,and antiplatelet therapy in the recovery stage.The patient has discharged from the hospital after clinical regression,disappearance of symptoms,and improvement of normal or near-normal laboratory indicators.No coronary artery lesions are found on follow-up,and gastrointestinal bleeding is cured.
NETL
NSTL
万方数据
