中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2009年
4期
425-427
,共3页
小儿%川崎病%诊断%治疗
小兒%川崎病%診斷%治療
소인%천기병%진단%치료
children%Kawasaki disease (KD)%diagnosis%treatment
目的 总结川崎病的临床特征,探讨川崎病的诊断和治疗.方法 回顾性分析1999年1月至2006年12月期间在陕西省石泉县医院住院确诊的82例住院川崎病患儿的临床资料.结果 川崎病发病以5岁以下多见,男多于女,无季节差异;典型病例多见,不完全性川崎病发生率低,为6.097%,诊断误诊率较高,为15.85%;静脉注射丙种球蛋白加阿斯匹林治疗效果好.结论 提高临床医师对川崎病的认识,减少误诊、漏诊.早期诊断、早期治疗能降低冠状动脉病变的发生率,改善川崎病的预后.
目的 總結川崎病的臨床特徵,探討川崎病的診斷和治療.方法 迴顧性分析1999年1月至2006年12月期間在陝西省石泉縣醫院住院確診的82例住院川崎病患兒的臨床資料.結果 川崎病髮病以5歲以下多見,男多于女,無季節差異;典型病例多見,不完全性川崎病髮生率低,為6.097%,診斷誤診率較高,為15.85%;靜脈註射丙種毬蛋白加阿斯匹林治療效果好.結論 提高臨床醫師對川崎病的認識,減少誤診、漏診.早期診斷、早期治療能降低冠狀動脈病變的髮生率,改善川崎病的預後.
목적 총결천기병적림상특정,탐토천기병적진단화치료.방법 회고성분석1999년1월지2006년12월기간재합서성석천현의원주원학진적82례주원천기병환인적림상자료.결과 천기병발병이5세이하다견,남다우녀,무계절차이;전형병례다견,불완전성천기병발생솔저,위6.097%,진단오진솔교고,위15.85%;정맥주사병충구단백가아사필림치료효과호.결론 제고림상의사대천기병적인식,감소오진、루진.조기진단、조기치료능강저관상동맥병변적발생솔,개선천기병적예후.
Objective To investigate clinical characteristics of Kawasaki disease(KD) and to explore diagnosis and treatment of the disease. Methods The clinical data of 82 patients with KD admitted to Shiquan County Hospital over a period from January, 1999 to December, 2006 were analyzed retrospectively. Results KD was commonly seen in children under 5 years old, and mainly in male children. Also, there was no seasonal differences in morbidity rate. Most of patients suffered from typical KD. The incidence of incomplete KD was low ( 6.097%). While the rate of misdiagnosis was high, which reached to 15.85%. The therapeutic effect of intravenous infusion of immunoglobulin combined with oral administration of aspirin was significant for KD. Conclusion The clinicians' recognition for KD should be raised in order to reduce rates of misdiagnosis and missed diagnosis. Early diagnosis and treatment can lower incidence of coronary artery lesions and improve prognosis of the children with KD.
