川崎病39例临床分析

Clinical Analysis of 39 Children with Kawasaki Disease

目的探讨小儿川崎病的临床特点。方法采用回顾性调查的方法,对39例川崎病患儿进行临床分析。结果39例患儿发生冠状动脉改变11例,其中8例随访半年(失访3例),冠状动脉内径均恢复正常。结论对川崎病患儿进行早期诊断、早期大剂量应用丙种球蛋白静脉滴注辅以抗凝治疗,是防止冠状动脉病变、减轻临床症状、提高治愈率的有效手段。

Objective To investigate clinical characteristics of Kawasaki disease. Methods Clinical data of 39 children with Kawasaki disease were analyzed retrospectively. Results After half year＇s follow-up visit, the coronary artery lumen of 8 children who had coronary artery changes were all recovered to normal. Conclusion Early diagnosis and large dose of gamma globulin dropping intrave nously assisted with anticoagulant therapy are effective on Kawasaki disease to prevent coronary artery disease, lighten clinical symptom and increase the cure rate.