儿童不完全性川崎病的诊治  

Diagnosis and treatment of incomplete Kawasaki disease in children

作　　者：焦富勇[1] 穆志龙 杜忠东[2] 杨晓东[3] 沈捷[4] 向伟 王虹[6] JIAO Fu-Yong;MU Zhi-Long;DU Zhong-Dong;YANG Xiao-Dong;SHEN Jie;XIANG Wei;WANG Hong(Shaanxi Provincial Kawasaki Disease Treatment Center/Children's Hospital of Shaanxi Provincial People's Hospital,Xi'an 710068,China)

机构地区：[1]陕西省川崎病诊疗中心/陕西省人民医院儿童病院,陕西西安710068 [2]国家儿童医学中心/首都医科大学附属北京儿童医院,北京100045 [3]上海交通大学医学院附属儿童医院,上海200040 [4]国家儿童医学中心/上海交通大学医学院附属儿童医学中心,上海200120 [5]海南省妇女儿童医学中心/国家卫健委热带病防治重点实验室,海南海口570206 [6]中国医科大学附属盛京医院小儿心脏病科,辽宁沈阳110004

出　　处：《中国当代儿科杂志》2023年第3期238-243,共6页Chinese Journal of Contemporary Pediatrics

基　　金：陕西省重点研发计划(S2022-YF-GHZD-0056);海南省重大科技计划项目(ZDKJ2019010);海南省重点研发计划(ZDYF2021SHFZ088);海南省临床医学中心建设项目资助(琼卫医函[2021]75号)。

摘　　要：川崎病(Kawasaki disease)是一种主要发生于5岁以下儿童的、以中小血管炎为主要病变的发热性疾病。虽然KD被报道已50余载,近年来对于KD的病因和病理研究也取得了实质性进展,但目前仍缺乏对KD早期诊断的特异性指标,尤其是对不完全性川崎病(incomplete Kawasaki disease,IKD)的诊断更加困难。目前对于IKD尚无明确的诊断标准,这导致临床上不能对IKD进行及时识别和规范治疗,从而导致冠状动脉病变的发生。因此,该文就IKD的概念、流行病学特点、诊断、治疗及随访管理进行总结,加深临床工作者对IKD的认识,希望有助于提高我国KD的临床诊治水平。Kawasaki disease(KD) is a febrile disease mainly observed in children aged <5 years,with medium-and small-vessel vasculitis as the main lesion.Although KD has been reported for more than 50 years and great progress has been made in the etiology and pathology of KD in recent years,there is still a lack of specific indicators for the early diagnosis of KD,especially with more difficulties in the diagnosis of incomplete Kawasaki disease(IKD).At present,there are no clear diagnostic criteria for IKD,which leads to the failure of the timely identification and standardized treatment of IKD in clinical practice and even induce the development of coronary artery lesion.This article reviews the concept,epidemiological features,diagnosis,treatment,and follow-up management of IKD,in order to deepen the understanding of IKD among clinical workers and help to improve the clinical diagnosis and treatment of KD in China.

关 键 词：不完全性川崎病 诊断 治疗 儿童 

分 类 号：R725.4[医药卫生—儿科]