不典型川崎病25例临床分析

Clinical analysis of 25 cases with atypical Kawasaki disease

目的探讨临床不典型川崎病的诊断方法，提高对不典型川崎病的诊断水平，降低儿童后天性心脏病的发病率。方法回顾性分析25例不典型川崎病的临床表现、实验室检查和预后情况等，并结合相关文献，探讨不典型川崎病的早期诊断和治疗方法。结果25例川崎病患儿均符合不典型川崎病的诊断标准。结论结合多方面临床资料对不典型川崎病诊断具有重要的早期诊断价值。

Objective To study the clinical diagnosis of 25 cases with atypical Kawasaki diseases and improve the diagnosis of atypical Kawasaki disease to reduce the morbidity of acquired heart disease in child. Methods Combined with the literature, retrospective analysis of 25 cases of atypical Kawasaki disease in clinical manifestation, laboratory examination and prognosis were performed to explore the early diagnosis and treatment to atypical Kawasaki disease between October 2002 and October 2010. Results Twenty-five cases of Kawasaki disease met the diagnostic criteria of atypical Kawasaki disease. Conclusion It is critical to perform a comprehensive analysis on all the clinical data obtained in determining atypical Kawasaki disease in early diagnosis.