小儿不完全川崎病的临床特征分析

Analysis of Children With Incomplete Kawasaki Disease Clinical Features

目的研究小儿不完全川崎病临床特征,为早期诊断提供依据。方法选取我院2010年8月—2017年8月参与纳入的60例川崎病患儿,以是否存在典型临床症状将患者平均分为参照组以及实验组,存在典型症状的患儿纳入参照组,不存在典型症状患儿纳入实验组,统计观察两组川崎病患者的实验室指标以及冠状动脉病超声检出率。结果实验组不完全川崎病患儿外周白细胞计数、血小板、C-反应蛋白与参照组典型川崎病患儿数据比较,P>0.05,差异无统计学意义。实验组不完全川崎病患儿冠状动脉病超声检出率高于参照组,P<0.05,差异有统计学意义。结论不完全川崎病对小婴儿造成严重影响,与典型川崎病比较,冠状动脉受损情况更严重,在诊断川崎病中需要对诊断指标之外的体征进行判断,结合超声检查以及实验室指标进行判断,为进一步治疗小儿不完全川崎病提供依据。

Objective To study on the clinical characteristics of children with incomplete Kawasaki disease, provide the basis for early diagnosis. Methods From August 2010 to August 2017, 60 patients with Kawasaki disease in children in our hospital were selected, the existence of the typical clinical symptoms of patients were divided into control group and experimental group, children with typical symptoms were included in the reference group, and children with no typical symptoms were included in the experimental group. Statistical observation of the laboratory indexes of the two groups of Kawasaki in patients with coronary artery disease and ultrasound detection rate. Results The experimental group is not completely Kawasaki disease peripheral white blood cell count, platelet count, C- reaction protein and reference group in typical Kawasaki disease data, P 〉 0.05, the difference was not statistically significant. The experimental group of incomplete coronary artery disease Kawasaki ultrasound detection rate was higher than that of control group, P 〈 0.05, the difference was statistically signifcant. Conclusion Incomplete Kawasaki disease caused a serious impact on the baby, compared with the typical Kawasaki disease, coronary artery damage is more serious, in the diagnosis of disease in need of Kawasaki diagnostic index outside signs judgment, judgment combined with ultrasound and laboratory index, provide the basis for further treatment of children with incomplete Kawasaki disease.