摘要
目的:探讨非典型川崎病的临床特点及其冠脉损害的随访结果,提高对易于误诊和漏诊的非典型川崎病的早期诊断率,更好把握其治疗时机,减少严重并发症的发生。方法:回顾性分析1999年4月~2008年3月诊断为川崎病患儿68例临床症状及实验室检查。结果:23例仅持续发热>5天,双侧球结膜充血,口唇鲜红皲裂,恢复期指(趾)端脱皮或皮疹,颈部淋巴结肿大临床表现中的1或2、3项,但伴有多脏器损害。随访结果与典型川崎病比较,两者遗留冠脉损害并无显著差异。结论:对持续发热患儿注意排除川崎病,减少因对该病认识不足而延误治疗所造成的并发症。
Objective:To understand the clinical features of atypical Kawasaki disease and its follow - up results of coronary artery damage, raising early diagnosis of atypical Kawasaki disease, a better grasp of their treatment time to reduce the serious complications of the disease. Methods : Section from 68cases of Kawasaki disease in children with clinical symptoms signs, laboratory tests were analyzed retrospectively. Results:Only 23 cases of persistent fever more than 5 days, bilateral conjunctival congestion, red lips, chapped, recovery means ( toe ) end of peeling, rash, clinical manifestations of cervical lymph node enlargement in one or two, three, but accompanied by multiple organ damage. Follow -up results compare with the typical left coronary artery lesion of Ka- wasaki disease is not significant. Conclusion: Children with persistent fever to rule out the disease, reduce disease due to lack of knowledge caused by delayed treatment of complications.
关键词
非典型川崎病
临床分析
随访结果
Clinical followup
study of atypi- cal
Kawasaki disease