川崎病诊断中的若干问题  

Special issues in diagnosis of Kawasaki disease

作　　者：张清友[1] 杜军保[1] Zhang Qingyou;Du Junbao(Department of Pediatrics,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院儿科,100034

出　　处：《中华实用儿科临床杂志》2020年第13期961-964,共4页Chinese Journal of Applied Clinical Pediatrics

摘　　要：川崎病是一种急性自限性的中型动脉血管炎,目前已经成为发达国家最常见的小儿获得性心脏病的病因。如果不能得到及时的诊断及治疗,约25%的患儿会出现严重的冠状动脉病变。由于川崎病缺乏特异性的诊断手段,诊断川崎病主要依赖于临床诊断标准,因此,对于典型的川崎病诊断不难,但对于表现不完全和不典型的川崎病诊断却面临极大的挑战,尤其是在目前全世界都面临的新型冠状病毒流行情况下,使川崎病的诊断更为复杂。本文结合最近美国心脏病协会发表的川崎病诊治指南,对川崎病诊断中的热点问题给予详细的阐述,希望能对川崎病患儿的诊断有所帮助。Kawasaki disease(KD)is an acute,self-limiting,and medium-sized vasculitis,which has been the commonest cause of acquired heart disease in children in developed countries.Without timely diagnosis and treatment,up-to 25%of the affected children may develop coronary artery abnormalities(CAA).Due to the lack of the specific diagnostic method,KD is mainly diagnosed according to the clinical criteria.As a result,typical KD is recognized easily,but it is a big challenge to diagnose KD patients with incomplete or atypical symptoms.The pandemic of novel coronavirus disease 2019(COVID-19)around the world makes the diagnosis of KD even more complex.In this review,hot issues in diagnosing KD were discussed according to the 2017 guidelines for diagnosis and treatment of KD recently published by the American Heart Association(AHA),expecting to provide help for diagnosis of KD children.

关 键 词：川崎病 诊断 儿童 

分 类 号：R725.4[医药卫生—儿科]