不完全川崎病的诊断与治疗  

Diagnosis and treatment of incomplete Kawasaki disease

作　　者：孙景辉[1] 徐阳[1] 

机构地区：[1]吉林大学第一医院小儿心血管科,长春130021

出　　处：《中国中西医结合儿科学》2016年第2期128-131,120,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：目前,对于川崎病的发病机制仍不是很明确,故对其诊断主要是根据临床特点,而并无确切的诊断标准。儿科医生在临床工作中经常遇到一些发热患儿,其表现特点与川崎病相似,但并没有完全符合川崎病的诊断标准,该类疾病被称为不完全川崎病。不完全川崎病与典型川崎病具有相似的流行病学特点、临床特征、实验室检查结果、治疗方法等。但是,由于不完全川崎病临床表现不完全,容易漏诊或误诊,导致治疗不及时,从而增加冠状动脉损伤的发病率。因此,对于该种疾病应尽早诊断,尽快给予合理的治疗,从而改善预后。To date,the etiology of Kawasaki disease（KD）remains unclear and no definite diagnostic test exists.The diagnosis is mainly based on its clinical features.However,pediatricians always encounter febrile children who do not fulfill the diagnostic criteria but have several findings similar to those of Kawasaki disease,and these children are said to have incomplete KD.The two diseases have similar epidemiological features,clinical presentations,laboratory profiles and treatment methods.Owing to the absence of some major criteria,incomplete KD can easily be misdiagnosed,resulting in a delayed treatment,which in turn can lead to the development of coronary artery lesions（CALs）.More timely diagnosis and treatment of incomplete KD patients can improve the prognosis.

关 键 词：不完全川崎病 川崎病 冠状动脉损伤 儿童 

分 类 号：R725.4[医药卫生—儿科]