重庆地区不完全性川崎病调查  

Investigation of Incomplete Kawasaki Disease in Chongqing Area

作　　者：王敏[1] 蒋利萍[1] 李秋[1] 赵晓东[1] 杨锡强[1] 

机构地区：[1]重庆医科大学附属儿童医院肾脏免疫科,重庆400014

出　　处：《实用儿科临床杂志》2006年第21期1476-1477,共2页Journal of Applied Clinical Pediatrics

摘　　要：目的提高对不完全性川崎病(KD)的诊治水平。方法对我院205例出院诊断为KD患儿的性别、年龄、临床表现及治疗情况进行回顾性分析及问卷调查随访。结果不完全性候选者29例中,21例确诊为不完全性KD(10.65%)。不完全性与典型KD性别及年龄构成均无显著性差异(P>0.05)。不完全性KD主要表现为发热、黏膜病变及指(趾)端改变,发热7 d后血小板明显增高。2例(9.52%)出现冠状动脉扩张,其中1例未使用静脉注射免疫球蛋白。结论不完全性KD在我国并不少见,应对其有所了解;积极使用静脉注射免疫球蛋白联合阿司匹林治疗,可降低冠状动脉病变发生率。Objective To make incomplete Kawasaki disease（KD） known to pediatrician. Methods We retrospectively reviewed the medical charts, especially sex, age, clinical manifestation and treatment of 205 cases with a discharge diagnosis of KD in children＇s hospital, Chongqing university of medical sciences and follow - up surveys were also conducted. Results Twenty - one cases were confirmed to have incomplete KD （ 10.65 % ） within 29 incomplete KD candidates. The sex and age distribution of incomplete KD were not different from typical KD （P〉0.05）. The main clinical manifestations were fever, mucositis and extremity changes. Thrombocytosis was observed after 7th day of fever. Two children （9.52 % ） had coronary aneurysms, and 1 was not given intravenous immunoglobulin. Conclusion Pediatricians shall be aware of the incomplete KD, in order to diagnose and treat the disease and to prevent coronary complications.

关 键 词：黏膜皮肤淋巴结综合征 数据收集 诊断 

分 类 号：R725.4[医药卫生—儿科]