川崎病73例临床分析  

Clinical analysis of 73 cases of Kawasaki disease

作　　者：楼方[1] 肖强[1] 

机构地区：[1]成都大学附属医院儿科,四川成都610081

出　　处：《四川医学》2013年第5期629-631,共3页Sichuan Medical Journal

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2004年8月～2012年8月诊治的73例KD患儿的资料进行回顾性分析和总结。结果 73例KD中典型62例,不典型11例,男38例,女35例,男女比例约为1.09∶1。年龄6个月～11岁,<1岁16例,1～3岁35例,3～5岁13例,>5岁9例。平均发病年龄2岁10个月。合并冠脉损害者19例,对合并冠脉损害者随访6个月～3年,完全恢复正常者17例。结论<1岁、WBC升高、ESR升高、ALB降低、发热时间长是KD合并冠脉损害的高危因素,KD发病10d内使用静脉丙种球蛋白效果好。Objective To investigate the clinical features,laboratory examination,risk factors of coronary artery lesions and treatment for Kawasaki disease（KD）.Methods 73 cases of diagnosis and treatment of children with KD in pediatric of Affiliated Hospital of Chengdu Uniuersity from August 2004 to August 2012 were reviewed and datawas analysed and summarized.Results 73 cases of KD in 62 cases of typical,atypical in 11 cases,38 cases of male,35 cases of female.Male to female ratio being 1.09∶1.The age was from 6 months to 11 years old.16 cases were under 1 year old,35 from 1 to 3 years old,13 from 3 to 5 years old and 9 over 5 years old.The mean age was 2 years and 10 months.19 cases with coronary artery damage,were followed up for 6 months to 3 years,17 cases fully recovered.Conclusion Under 1 year old,WBC increased,ESR increased,ALB lower and length of heat are the 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]