CAJ | 학술논문

目的：探讨川崎病再发的病因及临床特点与冠状动脉病变的关系。方法收集该院2006年1月至2012年12月川崎病再发9例患儿，分析临床特点及相关实验室数据。结果收治初发的432例川崎病中，再发9例，再发率为2.08%。初发与再发病例中均存在一定比例的微生物感染。再发川崎病的热程明显短于同个体的初发热程，WBC计数、ESR、CRP等炎性指标与初发无显著差别，但PLT计数再发病例明显高于初发病例，冠状动脉损伤发生率无明显差异。
목적：탐토천기병재발적병인급림상특점여관상동맥병변적관계。방법수집해원2006년1월지2012년12월천기병재발9례환인，분석림상특점급상관실험실수거。결과수치초발적432례천기병중，재발9례，재발솔위2.08%。초발여재발병례중균존재일정비례적미생물감염。재발천기병적열정명현단우동개체적초발열정，WBC계수、ESR、CRP등염성지표여초발무현저차별，단PLT계수재발병례명현고우초발병례，관상동맥손상발생솔무명현차이。
Objective To explore the etiology and clinical features of recurrent Kawasaki disease(KD)and the relationship between coronary artery lesions.Methods The medical data of 9 children with recurrent KD who were admitted to the Children’s Hospital from January 2006 and December 2012 were retrospectively studied.Their clinical features were compared with those of children with initial KD.Results Early treated 432 cases of kawasaki disease, 9 cases of recurrence and the recurrence rate was 2.08%. Initial and recurrent KD to exist a certain proportion in the cases of microbial infection. The period fever of recurrence KD is significantly shorter than the initial KD. The WBC count, the ESR and CRP et. inflammatory indicators and there was no significant difference of initial KD, but the PLT count significantly higher than the initial KD, no difference between the incidence of coronary artery lesions.