川崎病110例临床分析  

Clinical Analysis of 110 Cases of Kawasaki Disease

作　　者：陈淑莲[1] 杨绿绿[1] 

机构地区：[1]福建省泉州市第一医院儿科,360000

出　　处：《临床合理用药杂志》2011年第04X期95-96,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的探讨川崎病(KD)的临床特征、实验室检查、冠脉损害的危险因素及治疗方法。方法对本院儿科2000年8月—2009年10月诊治的110例KD患儿的资料进行回顾性分析和总结。结果 110例KD中典型89例,不典型21例,男78例,女32例。平均发病年龄为2岁10个月。合并冠脉损害者30例,其中冠脉扩张21例,冠脉瘤9例。对合并冠脉损害者随访6个月～2.5年,完全恢复正常者27例。结论不典型KD冠脉损害率高,KD发病l0d内用丙种球蛋白效果好,白细胞升高、血清清蛋白降低、男性及发热时间长是KD合并冠脉损害的危险因素。Objective To investigate the Kawasaki disease（KD） clinical features,laboratory examination,the risk factors for oronary artery lesion and treatment of kawasaki disease（KD）.Methods 110 cases of diagnosis and treatment of children with KD pediatric of First People＇s Hospital of Quanzhou city from August 2000 to October 2009 were reviewed and data was analysed and summaized.Results 110 cases of KD in 89 cases of typical,atypical in 20 cases,78 cases of male,32 cases of female.The average age of onset was 34 months.Combined 30 cases of coonary artery damage,there were 21 cases of coronary artery expansion,9 cases of corary aneurysm.Combined damage to the coronary artery were followed up for 6 months to 2.5 years,27 cases fully recovered.Conlusion Atypical KD has a high rate of coronary artery lesion,and incidence of KD in 10 days with gammaglobulin was better than hat with gammaglobulin above 10 days,WBC increased,ALB lower,male and length of heat are time combined KD of risk factors for coronary artery damage.

关 键 词：川崎病 冠脉损害 丙种球蛋白 

分 类 号：R725.4[医药卫生—儿科]