3个月以下小婴儿不典型川崎病临床分析  

Clinical analysis of incomplete Kawasaki disease of infants aged under 3 months

作　　者：高荣荣[1] 张国强[1] 张立明[2] 

机构地区：[1]潍坊医学院,山东潍坊261041 [2]潍坊市人民医院新生儿科

出　　处：《青岛医药卫生》2016年第2期108-109,共2页Qingdao Medical Journal

摘　　要：目的探讨3个月以下小婴儿不典型川崎病的临床表现特点,帮助早期诊断,提高治愈率。方法回顾性分析本院2012年1月至2015年7月收治的小婴儿川崎病64例的临床表现,其中不典型川崎病43例,典型川崎病21例。结果 3个月以下的小婴儿川崎病以不典型病例较多见,且临床表现以卡疤红斑、肛周潮红、蜕皮多见,颈部淋巴结肿大少见,差异有统计学意义(P<0.05)。结论 3个月以下的小婴儿川崎病的临床表现多无明显特异性,冠状动脉损害率较高,应及时行超声心动图检查,早期诊断。Objective To investigate the clinical characteristics of incomplete Kawasaki disease of infants aged under 3 months, help diagnosis in early, improve the cure rate. Methods Clinical manifestations of 64 cases Kawasaki disease（KD） infants hospitalized in our hospital from January 2012 to July 2015 were retrospective analyzed, including 43 cases incomplete KD and 21 cases complete KD. Results Incomplete Kawasaki disease of infants aged under 3 months were more common, and the clinical characteristics of vaccination erythema, perianal skin flushing and molting were common, cervical lymph node enlargement was rare, the difference was statistically significant（P〈0.05）. Conclusion The clinical characteristics of Kawasaki disease of infants aged under 3 months are always without obvious specificity, coronary artery lesions always occur with higher rates, we should do echocardiographic examination in time which would be helpful for early diagnosis.

关 键 词：小婴儿 不典型川崎病 冠状动脉损害 

分 类 号：R725.4[医药卫生—儿科]