31例不典型川崎病的临床诊治分析

Clinical Analysis of 31 Cases of Atypical Kawasaki Disease

目的分析31例不典型川崎病患者的临床特征。方法对我院2008年2月至2011年11月收治的31例不典型川崎病患者与同期36例典型川崎病患者的临床资料进行比较分析,对比两组患者的临床特点。结果不典型组患者年龄较低,其临床表现少,临床确诊前的发热时间较长,且冠脉损伤情况发生较多,与典型川崎病患者比较有显著差异,P<0.05,差异有统计学意义。结论不典型川崎病在临床并不少见,其需要医师提高临床确诊率,使用丙种球蛋白综合治疗方案积极预防冠脉损伤的发生。

Objective To analyze the clinical features of 31 cases of atypical Kawasaki disease. Methods A comparative analysis of 31 cases of atypical Kawasaki disease patients admitted to hospital in February 2008 - November 2011 over the same period 36 cases of typical Kawasaki disease patients with clinical data, compared to the clinical features of two groups of patients. Results Not a typical group of patients with a lower age, clinical manifestations, clinical diagnosis of pre-heating time is longer, and coronary artery damage from happening more, compared with typical Kawasaki disease patients were significantly different, P〈0.05, the difference was statistically significance. Conclusion Not typical of Kawasaki disease in clinical practice is not uncommon, doctors are required to improve the clinical diagnosis rate, the use of gamma globulin treatment program and actively prevent the occurrence of coronary artery injury.