川崎病66例临床与实验室分析

Clinical and laboratory analysis on 66 cases with Kawasaki disease

目的深化对川崎病的认识。方法分析2004-2006年确诊为川崎病的66例患儿的临床和实验室资料。结果男50例,女16例,年龄最小为6.5月,最大为10岁。症状以发热、发热伴皮疹较常见。阳性体征以双側球结膜充血最为多见,颈淋巴结肿大最少见。血沉持续不降对川崎病的诊断及提示冠状动脉扩张具有重要意义。结论川崎病的诊断要结合临床特点、特异实验室检查及超声心动图检查。对疑似病例要注意复查超声心动图。

Aim To intensify the recognition of Kawasaki disease. Methods The clinical and laboratory data of 66 patients were analyzed. The diagnoses were confirmed from 2004 to 2006. Results 50 patients were boys and 16 patients were girls with the ages ranging from 6.5 months to 10 years old. Fever,fever with rash were common symptoms. Bilateral bulbar eonjunetival injection was the most common positive sign and cervical lymphadenopathy was seldom. Continuiously high ESR was important for the diagnosis of Kawasaki disease and warning of coronary aneurysms. Conclusions The diagnosis could be confirmed with representative clinical pictures,laboratory examination and utrasound cardiogram. Reexamination of ultrasound cardiogram was recommended for the diagnostic confirmation.