CAJ | 학술논문

目的探讨不完全川崎病与典型性川崎病的异同以便早诊断、早治疗.方法回顾分析60例确诊为川崎病患儿的临床和实验室资料.结果不完全川崎病临床诊断指标中的症状出现率较典型性川崎病低(x2 =16.46、10.10、11.71、34.43,均P＜0.01),两者实验室检查指标WBC、Pt、ESR及CRP之间差异无统计学意义(x2 =0.04、0.12、0.04、0.26,均P＞0.05),两者冠状动脉病变发生率差异有统计学意义(x2=31.43,P＜0.05).结论川崎病的早期诊断要结合临床特点、实验室检查和超声心动图检查.
목적 탐토불완전천기병여전형성천기병적이동이편조진단、조치료.방법 회고분석60례학진위천기병환인적림상화실험실자료.결과 불완전천기병림상진단지표중적증상출현솔교전형성천기병저(x2 =16.46、10.10、11.71、34.43,균P＜0.01),량자실험실검사지표WBC、Pt、ESR급CRP지간차이무통계학의의(x2 =0.04、0.12、0.04、0.26,균P＞0.05),량자관상동맥병변발생솔차이유통계학의의(x2=31.43,P＜0.05).결론 천기병적조기진단요결합림상특점、실험실검사화초성심동도검사.
Objective To investigate the similarities and differences of incomplete Kawasaki disease and typical Kawasaki disease,in order to provide basis for early diagnosis and treatment.Methods The clinical and laboratory data of 60 children with Kawasaki disease were retrospectively analyzed.Results The incidence rate of symptoms in clinical diagnostic criteria was lower in incomplete Kawasaki disease than that in typical Kawasaki disease(x2 =16.46,10.10,11.71,34.43,all P ＜ 0.01).No statistical differences of leukocytes,platelet,erythrocyte sedim-entation rate and C-reactive protein were found in the incomplete Kawasaki disease and typical Kawasaki disease(x2 =0.04,0.12,0.04,0.26,all P ＞ 0.05).The incidence rate of coronary artery lesions had significant difference between incomplete Kawasaki disease and typical Kawasaki disease (x2 =31.43,P ＜ 0.01).Conclusion The early diagnosis of Kawasaki disease could be confirmed by representative clinical characteristics,laboratory examination and ultrasound cardiogram.