小儿川崎病的临床表现及误诊分析(附30例报告)  

Clinical manifestations of childhood Kawasaki disease and misdianosis analysis:30 cases review

作　　者：张洪荣[1] 卓俊瑞[1] 陈煌煌[1] 吴国媛[1] 李映林[1] 

机构地区：[1]福建省莆田学院附属医院儿科,福建莆田351100

出　　处：《中国医药指南》2008年第24期70-71,共2页Guide of China Medicine

摘　　要：目的分析小儿川崎病(KD)的临床表现并探讨误诊原因及防范措施。方法对1996年1月至2007年12月被误诊的30例KD患儿的临床资料进行回顾性分析。结果临床表现呈复杂化、多样化,易被误诊为呼吸系统疾病和消化系统疾病。结论必须提高对KD的认识,注意综合分析复杂多样的临床表现,正确理解诊断标准,动态观察主要临床表现和某些较特异性体征,配合必要的化验和超声心动图检查,尽早确诊,减少冠状动脉损害的发生。Objective To analyse the manifestations of childhood Kawasaki disease,explore the reasons of misdiagnosis in clinical treatment and introduce preventive methods.Methods All together 30 misdiagnosed cases of childhood Kawasaki disease(58. 8%of all cases,hospitalized from Jan.1996 to Dec.2007)were retrospectively analysed.Results KD could present complicated and diversified clinical manifestations.In this group,they were mainly misdiagnosed as diseases of respiratory system and diseases of respiratory system.Conclusion A thorough comprehendingon the features,aggregate analysis of the complicated clinical situations, correct understanding of the diagnostic criteria,dynamic observation on the clinical appearances and some specific signs,essential chemical examination and echocardiography are helpful to make the final diagnosis and reduce the CAL in KD clinical practice.

关 键 词：川崎病 临床表现 误诊 防范 儿童 

分 类 号：R725.4[医药卫生—儿科]