论文部分内容阅读
以小~中型动脉炎为特征的川崎病也常出现消化道症状。对川崎病合并肠梗阻的发病原因进行研究。对象与方法1981年1月~1987年10月住院的典型川崎病患儿206例。肠梗阻的诊断根据典型临床表现,腹部X线有液平面,Kerckring征,小肠扩张积气。病人分为合并肠梗阻的A组和无肠梗阻的B组。结果A组12例(5.8%),年龄3个月~3岁8个月。肠梗阻发生在第2~10病日,其中8例(66.7%)在4日以内。需要治疗的12例中11例经内科处理而治愈,4例有低白蛋白血症(<25g/L)。入院时两组的白细胞数、CRP、血沉均无显著差异。血清总蛋白、白蛋白均降低,有显著差异。A组在发病时总蛋白、白蛋
Kawasaki disease, which is characterized by small-to-medium arteritis, often has gastrointestinal symptoms. The cause of Kawasaki disease complicated with intestinal obstruction was studied. Objects and Methods A total of 206 Kawasaki disease patients were hospitalized from January 1981 to October 1987. The diagnosis of intestinal obstruction According to the typical clinical manifestations, abdomen X-ray liquid level, Kerckring sign, intestinal expansion of gas. Patients were divided into group A with intestinal obstruction and group B with no intestinal obstruction. Results A group of 12 patients (5.8%), aged 3 months to 3 years and 8 months. Intestinal obstruction occurred on the 2nd to 10th days, of which 8 (66.7%) were within 4 days. Eleven of the 12 patients in need of treatment were cured by internal medicine and 4 had hypoalbuminemia (<25 g / L). There were no significant differences in the number of white blood cells, CRP, erythrocyte sedimentation rate between the two groups on admission. Serum total protein, albumin were reduced, there are significant differences. A group in the onset of total protein, white eggs