中国社区医师2016，Vol.32Issue(24)：34-35,2.DOI:10.3969/j.issn.1007-614x.2016.24.17
儿童川崎病369例的临床病例分析
Clinical analysis of 369 cases of Kawasaki's disease in children
孙苓1
作者信息
- 1. 310006浙江大学医学院附属妇产科医院
- 折叠
摘要
Abstract
Objective:To summarize the clinical features of Kawasaki's disease,in order to guide the clinical diagnosis and treatment.Methods:369 cases of children with Kawasaki disease were selected,and the clinical data were retrospectively analyzed. Results:The proportion of male and female patients with Kawasaki's disease was 1.4∶1.The age was from 2 months 25 days to 13 years 10 months.Among them,88.6% of the children were less than 5 years old(327 cases).The most common clinical symptom was fever.The frequency of other symptoms in turn were 336 cases(91.1% ) of congestion and chapped lips,cervical lymph node enlargement in 309 cases(83.7%),ocular conjunctival hyperemia in 299 cases(81.1%),rash in 255 cases(69.1%),hand and foot scleredema and molting in 231 cases(62.6%).92.7% of KD children had one or more than one other system organ damage.57 patients(15.4% ) had coronary artery dilatation;8.4% was no response to the human immunoglobulin for intravenous injection(IVIG) treatment.Conclusion:The incidence of Kawasaki disease was increasing year by year.Timely diagnosis and treatment,followed up and paying attention to the monitoring of cardiac ultrasound,erythrocyte sedimentation rate(ESR) and C-reactive protein(CRP) can improve the therapeutic effect and improve the prognosis.关键词
川崎病/儿童/临床特征/诊断Key words
Kawasaki disease/Children/Clinical features/Diagnosis引用本文复制引用
孙苓..儿童川崎病369例的临床病例分析[J].中国社区医师,2016,32(24):34-35,2.
