CAJ | 학술논문

目的探讨川崎病(KD)的临床特征、二维彩色超声心动图检查.方法对吕梁市人民医院儿科2000年1月至2012年6月住院的98例川崎病患儿资料进行回顾性分析和总结.结果 98例KD中男62例,女36例,男:女为1.72∶1.＜1岁20例,l～＜3岁61例,3～＜5岁13例,≥5岁4例.平均发病年龄2岁6个月.冠状动脉异常32例(32.65％),其中冠状动脉内径正常,但冠状动脉壁增厚,回声增强5例(5.10％),冠状动脉扩张24例(24.49％),冠状动脉瘤3例(3.06％).结论川崎病主要见于儿童,尤其3岁以下儿童,男多于女.临床表现多样,不典型病例也较多.且两者均易合并冠状动脉损害,严重影响儿童身体健康.早期诊断、及时适当治疗可减少并发症,改善预后.
목적 탐토천기병(KD)적림상특정、이유채색초성심동도검사.방법 대려량시인민의원인과2000년1월지2012년6월주원적98례천기병환인자료진행회고성분석화총결.결과 98례KD중남62례,녀36례,남:녀위1.72∶1.＜1세20례,l～＜3세61례,3～＜5세13례,≥5세4례.평균발병년령2세6개월.관상동맥이상32례(32.65％),기중관상동맥내경정상,단관상동맥벽증후,회성증강5례(5.10％),관상동맥확장24례(24.49％),관상동맥류3례(3.06％).결론 천기병주요견우인동,우기3세이하인동,남다우녀.림상표현다양,불전형병례야교다.차량자균역합병관상동맥손해,엄중영향인동신체건강.조기진단、급시괄당치료가감소병발증,개선예후.
Objective To investigate the clinical features of Kawasaki disease.Methods The clinical data of 98 patients with Kawasaki disease hospitalized in Lüliang people' s hospital during January 2000 and June 2012 were reviewed.Results Among 98 cases,62 were male and 36 were female,male to female ratio was 1.72∶ 1.Twenty cases were under 1 year old,61 cases between 1 to 3 years old,13cases between 3 to 5 years old,4 cases over 5 years old.The mean age was 2 years and 6 months old.Totally 32 cases were complicated with coronary artery lesions,including 29 coronary artery dilation,3coronary artery aneurysms.Conclusions KD is always happened in children,especially under 3 years old,male is more than female.Its clinical expression is varied.The incidence of heart complications in typical Kawasaki disease is as more as non-typical Kawasaki disease.It damages the health of children severely.Early diagnosis and appropriate treatment can decrease the complications and improve the prognosis.