CAJ | 학술논문

目的：比较不完全性川崎病与典型川崎病的临床特征，以期为川崎病的临床诊疗提供帮助。方法选择在我院住院部治疗过的96例川崎病患儿，分为不完全性川崎病组与典型川崎病组，比较两组的临床表现及治疗前的实验室指标。结果除肛周脱屑外，两组眼球结膜充血、口唇充血皲裂、皮疹、手足硬肿、指端脱皮，淋巴结肿大、草莓舌、冠状动脉病变的发生例数比较差异均有统计学意义（P<0.05）。应用药物治疗前，除血红蛋白外，白细胞、血小板、血沉、C反应蛋白、白蛋白比较差异无统计学意义（P>0.05）。结论对于不完全性川崎病，在排除其他疾病引起的发热后，参考血红蛋白下降及肛周脱屑可初步诊断为川崎病，以避免错过患儿的最佳治疗时机。
목적：비교불완전성천기병여전형천기병적림상특정，이기위천기병적림상진료제공방조。방법선택재아원주원부치료과적96례천기병환인，분위불완전성천기병조여전형천기병조，비교량조적림상표현급치료전적실험실지표。결과제항주탈설외，량조안구결막충혈、구진충혈군렬、피진、수족경종、지단탈피，림파결종대、초매설、관상동맥병변적발생례수비교차이균유통계학의의（P<0.05）。응용약물치료전，제혈홍단백외，백세포、혈소판、혈침、C반응단백、백단백비교차이무통계학의의（P>0.05）。결론대우불완전성천기병，재배제기타질병인기적발열후，삼고혈홍단백하강급항주탈설가초보진단위천기병，이피면착과환인적최가치료시궤。
Objective To compare clinical characteristics of incomplete Kawasaki and typical Kawasaki, in order to provide help for clinical diagnosis and treatment. Methods 96 children with Kawasaki disease were divided into incomplete Kawasaki group and typical Kawasaki group, the clinical manifestations and laboratory indexes were compared between the two groups before treatment. Results In addition to the perianal desquamation, bulbar conjunctiva hyperemia, congestion, rash, hand foot chapped lips swollen, swollen lymph nodes, strawberry tongue, that the number of toe desquamate, comparison of coronary artery lesions of two groups showed significant differences (P<0.05). Before application of drug treatment, except hemoglobin, there were no statistical significance differences of white blood cells, platelets, ESR, C reactive protein, albumin in two groups(P>0.05). Conclusion For the incomplete Kawasaki disease, fever in the exclusion of other diseases, can diag-nose the disease by reference hemoglobin decreasing and perianal desquamation for Kawasaki optimal treatment opportunity.