What is the early treatment for Kawasaki disease?

More and more diseases are appearing around us, which has brought great interference to the lives of many friends. Therefore, we should take preventive measures in life to stay away from these diseases, such as Kawasaki disease. Below I will introduce to you the early treatment methods of Kawasaki disease, I hope it will be helpful to everyone.

1. Anticoagulant therapy

In the recovery stage, patients should take aspirin 3-5 mg/kg per day, once a day, until the erythrocyte sedimentation rate and platelet count return to normal. If there is no coronary artery abnormality, the drug is generally stopped 6-8 weeks after the onset of the disease. Echocardiography should be repeated 6 months and 1 year later. For patients with chronic coronary artery disease, long-term anticoagulant drugs and close follow-up are required. Patients with small single coronary artery aneurysms should take aspirin 3-5 mg/kg·d for a long time until the aneurysm disappears. For those who are intolerant to aspirin, 3-6 mg/kg per day can be used, divided into 2-3 times. Heart condition every year. If echocardiography, clinical data or exercise test indicate myocardial ischemia, coronary angiography should be performed. Patients with multiple or large coronary aneurysms should take oral angiography for a long time. Patients with multiple or large coronary aneurysms should take aspirin and dipyridamole for a long time. Patients with giant tumors are prone to thrombosis, coronary artery stenosis or occlusion, and oral warfarin anticoagulants can be used. These patients should limit their activities and not participate in sports. Check their heart condition every 3 to 6 months. If there are signs of myocardial ischemia or a positive exercise test, coronary angiography should be performed to understand the progression of stenosis. Patients with occlusion of one or more major coronary arteries should receive long-term anticoagulant therapy, repeated heart examinations, including myocardial scanning, exercise testing, coronary angiography, etc., and consider surgical treatment.

2. Thrombolytic therapy

Patients with myocardial infarction and thrombosis are given drugs intravenously or by percutaneous catheter puncture into the coronary artery to promote coronary recanalization and myocardial reperfusion. Urokinase 20,000u/kg is injected within 1 hour of intravenous thrombolysis, followed by 3,000-4,000u/kg per hour. Urokinase 1,000u/kg is injected within 1 hour of coronary artery administration. Streptokinase can also be used. Streptokinase 10,000u/kg is injected within 1 hour of intravenous thrombolysis, and it can be used again half an hour later. The above drugs quickly dissolve fibrin, with good effects and no adverse reactions.

After reading the introduction in the above article, we all know the treatments for Kawasaki disease. Parents and friends must learn more about the relevant knowledge. When children become ill, don’t worry too much. Get timely treatment and strengthen nursing care. They should also eat more fruits and vegetables, and avoid eating peppers.