川崎病39例临床分析

Analysis of 39 clinical examples of Kawasaki disease

目的 了解川崎病患儿的心血管的改变及治疗效果。方法 采用回顾性调查方法对 3 9例川崎病患儿的临床资料进行分析。结果 3 9例川崎病患儿中接受超声心动图检查 12例 :其中冠状动脉扩张 4例 (3 3 3 % ) ;二尖瓣关闭不全 1例 (8 3 % ) ,三尖瓣关闭不全 2例 (16 6% ) ,二尖瓣关闭不全并三尖瓣关闭不全 1例 (8 3 % ) ,左心室增大 1例 (8 3 % ) ,合计 41 6%。结论 川崎病患儿在二尖瓣、三尖瓣及左心室的病理改变发生率为 41 6%。拟诊为川崎病的病例 ,应尽早作超声心动图检查 ,以观察心血管病变情况。确诊本病后应尽早使用丙种球蛋白 ,以减轻。

Objective To understand the cardiovasular change as well as the therapeutic effect in children with Kawasaki disease.Methods The review and investigating methods were used to analyse 39 clinical examples of children with Kawasaki disease.Results 12examples in the 39 examples having taken the ultrasonic cardiogram,the results is 4 examples(33.3%)were coronary artery dilation one example(8.3%)was incompletly closing of cuspid valve,two examples(16.6%)were incompletly closing of tricuspid valve,one example(8.3%)was incompletly closing of cuspid valve as well as tricuspid valve,one examples(8.3%)was hepertrophy of left ventricle of heart.The total is 41.6%.Conclusion The children with Kawasaki disease have the pathological change possibility of 41.6%in cuspid valve.tricuspid valve and left ventricle of heart.If a preliminarydiagnosis of Kawasaki disease has been made ,The ultrasonic cardiogram should be taken as soon as possible in order to observe the pathological change of cardiovascular system.After a definite diagnosis of Kawasaki disease has been made.-globulin should be used as soon as possible in order to prevent and alleviate the damage to cardiovascular system.