摘要
目的探讨川崎病的临床特点,加强对不典型性川崎病的认识,以便早期诊治,防止漏诊误诊。方法系统回顾56例川崎病的临床特点及诊治过程,对不完全型川崎病的特点进行总结。结果56例川崎病患者年龄最小者48d,最大10岁,男32例,女24例;临床表现中,发热最为常见,占98.2%,其次为皮肤黏膜病变,占96.4%,皮疹占87.5%%,冠状动脉损伤占18.8%。不完全型川崎病占14.3%。结论对于发热时间较长而具有部分川崎病的临床症状者,应警惕不典型川崎病的可能,应及早进行实验室及超声心动图检查。早期诊断及时正确治疗可缩短病程,减少并发症并改善预后。
Objective To study the clinical features of Kawasaki Disease in children and to improve the recogonization of incomplete cases. Preventing misdiagnosis and giving early treatment. Methods Retrospectively study of 56 children with Kawasaki disease. Results In the 56 patients, the age ranged from 48 days to 10 years old. The male was 32 and the female was 24. Fever is the most common symptoms in 98.2% , followed by skin and memberin lesion in 96.4% , the skin rash was in 87.5%. coronary artery lesion was in 18.8%. Incomplete cases was in 14.3%. Conclusion It should be suspected for incomplete cases if the child get long time fever with some symptomes of Kawasaki disease. Ultrosonic and labrary exam will help diagnosis. Early diagnosis and properly treatment may reduce complication and improve the prognosis.
出处
《医药论坛杂志》
2007年第9期17-18,21,共3页
Journal of Medical Forum
关键词
川崎病
不完全型
临床特点
Kawasaki Disease
Incomplate
Clinical feature
