不完全川崎病26例分析  

Analysis of incomplete Kawasaki disease for 26 cases

作　　者：韩爱民[1] 王军[1] 张文辉[1] 

机构地区：[1]徐州医学院附属医院儿科,江苏221000

出　　处：《齐齐哈尔医学院学报》2016年第3期333-334,共2页Journal of Qiqihar Medical University

摘　　要：目的通过对26例不完全川崎病的病例分析,探讨不完全川崎病(IKD)患儿的临床特征、实验室检查结果,以提高该疾病的认识,减少误诊率。方法选择2010年1月至2014年12月于本院确诊及治疗的26例不完全KD患儿的临床病历资料为观察组。对照组为20例典型川崎病患儿。对其临床症状和实验室检查结果进行回顾性分析。结果两组患儿均出现发热症状(100%),两组患儿皮疹、口唇改变及球结膜充血发生率差异无统计学意义。而观察组患儿淋巴结肿大10例(38.5%),四肢变化12例(46.2%),呼吸道症状15例(57.7%),消化道症状(65.3%),与对照组比较两者差异有统计学意义。辅助检查结果:两组患儿外周血白细胞计数、血小板计数、血白蛋白差异有统计学意义,而血沉、C反应蛋白差异无统计学意义。结论早期发现不完全KD患儿的临床症状,结合实验室检查,有助于早期诊断该病,以防误诊误治。Objective Discuss the clinical features and laboratory test results of incomplete Kawasaki disease（KD）,through the analysis of 26 cases of incomplete Kawasaki disease,in order to improve the understanding of the disease and reduce misdiagnosis rate.Methods 26 cases of incomplete KD patients diagnosed and got treatment in our hospital from January 2010 to December 2014 were enrolled in the observation group.20 cases of children with typical Kawasaki disease were enrolled in the control group.The clinical symptoms and laboratory test results were retrospectively analyzed.Results Patients of both groups got fever symptoms（100%）,the occurrence of rashes and lip change and conjunctival hyperemia of the two groups were not statistically significant.There were 10 cases（ 38.5%） of lymph nodes swelling,12 cases（46.2%） of limbs changes,15 cases（ 57.7%） of respiratory symptoms,17 cases（ 65.3%） of gastrointestinal symptom.Compared with control group the differences were statistically significant.Auxiliary test results showed that： the differences of white blood cell count,platelet count and serum albumin between the two groups was statistically significant,however,the differences of erythrocyte sedimentation rate and C- reactive protein between the two groups were not statistically significant.Conclusions Early clinical symptoms found in children with typical KD,combined with laboratory tests,help to early diagnosis of the disease and prevent misdiagnosis from occurring.

关 键 词：不完全川崎病 诊断 

分 类 号：R725.4[医药卫生—儿科]