小儿非典型川崎病56例临床诊断分析

An analysis on clinical diagnosis of atypical kawasaki disease in 56 cases of children

目的通过对不典型川崎病的临床分析而提高对不典型川崎病的认识。方法采用临床病例回顾性分析。结果非典型KD只具备KD诊断标准中6项之4项或3项，冠状动脉病变是诊断非典型KD的重要依据。该组非典型KD冠状动脉扩张和冠状动脉瘤的发生率为100％。结论小儿不典型川崎病临床表现多种多样，与许多疾病有相似之处，应及时做超声心动图，尽早明确诊断以利治疗，减少冠状动脉的损害。

Objective To obtain a better understanding of atypical Kawasaki disease via a thorough diagnostic analysis on the disease. Methods Cases of atypical Kawasaki disease were retrospectively analyzed. Resnits Only 3 or 4 items of diagnostic criteria were diagnosed and recorded in atypical Kawasaki disease comparing to the 6 for typical Kawasaki disease; coronary artery dilation is therefore suggested as an important signal. Conclusion Atypical Kawasaki disease resemble other diseases in variety of symptoms. Therefore, the key to early diagnosis is to send patients for ultrasonic cardiogram as to lessen possible harm from coronary artery dilation.