川崎病并肺部病变临床特点分析  

Analysis of clinical characteristics of Kawasaki disease complicated with lung lesion

作　　者：郑代明[1] 于永慧[2] 庄建新[2] 汪翼[2] 

机构地区：[1]浙江省丽水市人民医院儿科,323000 [2]山东省立医院儿科

出　　处：《中国综合临床》2004年第4期371-372,共2页Clinical Medicine of China

摘　　要：目的　探讨川崎病并肺部病变的临床特点。方法　回顾分析 4 2例川崎病并肺部病变的临床资料。结果　轻度呼吸道症状表现 32例 (76 .2 % ) ,中重度表现 5例 (11.9% )。肺部听诊均有两肺呼吸音粗糙 (10 0 % ) ,有干音或痰鸣音 6例 (14 .3% ) ,中细湿音 1例 (2 .4 % )。X线胸片累及两侧肺部 39例 (92 .9% ) ,单侧肺部 3例 (7.1% ) ,主要表现为两肺野内有斑点状或斑或斑片状阴影 (6 6 .7% )或两肺纹理增粗紊乱 (2 6 .2 % )。经对川崎病的系统治疗并辅以一般抗生素 ,所有病例肺部症状体征在 2周内消失 ,X线胸片在2～ 3周恢复正常。结论　川崎病并肺部病变的临床症状轻、体征少 ,诊断主要依据胸部X线。肺部病变无需特殊治疗 ,可随着川崎病的系统治疗而恢复。Objective To study the clinical characteristics of Kawasaki disease complicated with lung lesion.Methods Clinical data of 42 Kawasaki disease complicated with lung lesion cases were retrospectively analyzed.Results Respiratory symptom was mild in 32 cases(76.2%) and was moderate or severe in 5 cases (11.9%).Harsh breath sounds were heard in two lungs of all the cases(100%),6 cases(14.3%) had dry rales and only one case(2.4%) had medium rales on auscultation.Of all the cases,two lungs of 39 cases(92.9%) were involved and lateral lung of 3 cases(7.1%) was involved,which mainly manifested as blotches and patches shadow(66.7%) or lung markings disorder lines in two lungs(26.2%) by Chest-X ray examination.After systemic therapy,the symptoms and signs of lung disappeared in 2 weeks and chest X-ray showed recovered findings in 2 to 3 weeks.Conclusion With the mild symptoms and few signs,the Kawasaki disease complicated with lung lesion is diagnosed mainly on the basis of chest X-ray.No special treatment is needed for the lung lesion,which can recover with the systemic therapy of Kawasaki disease.

关 键 词：川崎病 儿童 肺部病变 

分 类 号：R725.4[医药卫生—儿科]