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56例川崎病患儿临床表现及心血管系统损害分析

崔黎红 郎丹丹

中国妇幼健康研究Issue(2):280-281,309,3.
中国妇幼健康研究Issue(2):280-281,309,3.DOI:10.3969/j.issn.1673-5293.2015.02.037

56例川崎病患儿临床表现及心血管系统损害分析

Clinical manifestations and cardiovascular damages of 56 cases of childhood Kawasaki disease

崔黎红 1郎丹丹1

作者信息

  • 1. 温岭巿妇女儿童医院儿科,浙江温岭 317500
  • 折叠

摘要

Abstract

Objective To investigate the clinical manifestations of hospitalized children with Kawasaki disease and the correlation between indexes of auxiliary examination and the complications of cardiovascular system, so as to provide some guidance for treatment of the disease.Methods The study included 56 children with Kawasaki disease hospitalized in pediatric department of Wenling Women and Children’ s Hospital during the period of January 2008 to January 2013.The clinical data of the children were collected.They took physical examination and some auxiliary examinations.All of the indexes were analyzed statistically.Results Totally 34 of 56 cases of Kawasaki disease were complicated with cardiovascular damages, accounting for 60.71%.There were 12 cases (21.43%) with abnormal ECG and 31 cases with abnormal cardiac ultrasonic results (55.36%).Nine cases suffered both.Multivariate Logistic regression analysis showed that CRP (OR=1.786), duration of fever before treatment (OR=1.345) and PLT (OR=2.565) were significantly correlated with cardiovascular damages in children with Kawasaki disease (all P<0.05).Conclusion The incidence of cardiovascular damages on children with Kawasaki disease at early stage is high.CRP, heating duration before treatment and PLT are high-risk factors of cardiovascular damages, therefore, much attention should be paid to the above factors at early stage.

关键词

儿童/川崎病/临床表现/心血管病变/并发症

Key words

children/Kawasaki disease/clinical manifestations/cardiovascular disease/complication

分类

医药卫生

引用本文复制引用

崔黎红,郎丹丹..56例川崎病患儿临床表现及心血管系统损害分析[J].中国妇幼健康研究,2015,(2):280-281,309,3.

中国妇幼健康研究

OACSTPCD

1673-5293

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