不完全川崎病59例临床分析

Clinic Analysis of Incomplete Kawasaki Disease Patients

目的总结不完全川崎病（KD）的临床特点，以利于早期诊断和治疗。方法对1990年5月-2004年5月本院收治的59例不完全川崎病进行回顾性分析。结果不完全川崎病在婴儿期发生率较高，且冠状动脉病变发生率高，临床表现中最常见的是发热，皮疹，恢复期脱皮，口咽黏膜弥漫性充血、皲裂，结膜充血，其次是草莓舌、手足硬性水肿，颈淋巴结肿大最少见。结论提高对不完全川崎病的早期诊断及治疗，可减少小儿后天获得性心脏病的发病率。

Objective To summarize the clinical characteristics of incomplete Kawasaki disease （KD） to benefit early diagnosis and treatment. Methods The clinical characteristics of Incomplete KD patients hospitalized between 1990 and 2004 were reviewed and analysed. Results The morbidity of incomplete KD is higher in infancy and the incidence rate of coronary artery pathological changes is high. The most frequent clinical characteristics included fever1 msh l convalescent period decorticate; mucous membrane of ompharynx diffusing hyperemia; rbagades; conjunctival hyperemia,the next is strawberry tongue and extremity hardness hydropsia, lymphonodi cervicales hypercmia is rare. Conclusions Right enhancement of early diagnosis and treatment for incomplete KD may reduce the morbidity of pedo - acquired character cardiopathy after birth.