153例川崎病的临床特点分析  

作　　者：邓宇虹[1] 郑祝剑 万玉萍[3] 

机构地区：[1]江西省儿童医院,南昌330006 [2]江西医学高等专科学校,上饶334000 [3]江西省南昌市洪都中医院,南昌330008

出　　处：《实用中西医结合临床》2013年第8期47-48,共2页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨川崎病的临床特点,加强对川崎病的认识。方法:对我院近3个月来153例川崎病患儿的临床特点、诊断及治疗情况进行分析。结果:以发热、眼结膜充血及唇充血皲裂三者为首发症状就诊的患者较其他首发症状者多,差异有统计学意义(P<0.05);以发热、四肢变化及多形性红斑和单纯发热为首发症状的患者误诊率较高。早期确诊的患儿平均住院天数为(8±0.3)d,未在早期确诊的患儿平均住院天数为(15±0.5)d:两者比较差异有统计学意义(P<0.05)。结论:不典型川崎病临床多见,临床医师应加以重视。Objective： To study clinical characteristics of Kawasaki disease and strengthen the awareness of Kawasaki disease. Methods： The clinical characteristics, diagnosis and treatment of Kawasaki disease were analysed in the recent three months. Results： The numbers of fever, eye conjunctival hyperemia and congestion chapped lips as the first symptoms were more than other symptoms,the difference was statistically significant （P〈0.05）, The rate of misdiagnosis of fever,the change of limbs with shaped lupus and simple fever as the first symptoms were high. The average hospitalization day of the early diagnosis of children was （8_＋ 0.3） d, and early misdiagnosis of children was （15＋ 0.5） d, there was statistically significant differences （P〈0.05）.Conclusions： Atypical Kawasaki disease should be attention in clinical practice.

关 键 词：川崎病 临床特点 诊断 治疗 

分 类 号：R725.4[医药卫生—儿科]