儿童川崎病108例诊治分析  

The Diagnosis and Treatment of Kawasaki Disease(108 cases Report)

作　　者：张茂好[1] 吴宜智[1] 

机构地区：[1]南华大学附属怀化医院儿科,湖南怀化418000

出　　处：《中国临床医学》2008年第2期221-222,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨儿童川崎病的诊断和治疗方法。方法:对108例川崎病的临床表现进行分析;同时将病例分为两组,即单用阿司匹林组和加用大剂量丙种球蛋白(IVIG)组对比分析。典型川崎病可按诊断标准,不典型的川崎病可依据其他特殊表现进行相应的诊断;加用IVIG组在退热时间,缩短病程,消除临床表现特别是在防治冠状动脉病变的疗效方面远好于单用阿司匹林组,两组有显著差异(P<0.05)。结论:对于典型川崎病可以根据诊断标准进行,对于不典型病例也可以根据其他表现作出判断;大剂量丙种球蛋白治疗川崎病有显著疗效,能有效的防治冠状动脉损害。Objective：To evaluate the diagnosis and treatment of Kawasaki disease（KD）. Methods：The clinical dada of 108 cases with KD in our hospital were analyzed. The diagnosis of uncharacteristic KD was proposed , cases were categorized and compared between cases aspirin and cases with aspirin add high dose intravenous immunoglobulins （IVIG）. Results：Characteristic KD can be treat as normal, uncharacter-istic KD can be diagnosed according to other clinic symptom. Cases with aspirin add high dose IVIG was superior to those with aspirin in shortening course of disease, reliefing symptom, especially in preventing coronary artery disease, there was a significant difference in flect （P〈0.05） . Conclusion：Characteristic KD can be diagnosed as normal, uncharact-eristic KD can be treated according to other clinic symptom. High dose IVIG is effective in treating KD and preventing arfery injury.

关 键 词：川崎病 诊断 治疗 

分 类 号：R593.9[医药卫生—内科学]