论文部分内容阅读
目的总结小儿川崎病的临床特点。方法回顾性分析我院儿科2010年1月~2014年12月住院确诊的22例川崎病患儿的临床资料。结果22例川崎病患儿，完全型川崎病20例，不完全型川崎病2例，IVIG无反应型川崎病1例，发生冠状动脉损害6例。主要临床表现发生率依次为发热、结膜充血、口唇及口腔黏膜改变、颈部淋巴结肿大等，疾病早期ESR和CRP明显增高，50%以上的患儿病程中合并肝功能异常、心电图异常和贫血，早期规范合理静脉使用IVIG可有效减少和预防冠状动脉损害。结论小儿川崎病临床表现多样，易合并冠状动脉损害，临床上应加强对不完全型川崎病和IVIG无反应型川崎病的早期诊断。“,”Objective To investigate the clinical features of Kawasaki disease in children.Methods Retrospective analysis of pediatric between January 2010 and December 2010 in the hospital diagnosis of the clinical data of 22 cases of children with kawasaki disease.Results In 22 cases of Kawasaki disease,20 cases were complete Kawasaki disease,2 cases were incomplete Kawasaki disease,1 case was intravenous immunoglobulin unresponsive Kawasaki Disease,and 6 cases were identified with coronary artery damage.The main clinical manifestations were fever,conjunctival congestion,lips and oral mucosa changes,cervical lymphadenopathy.In the early stage,ESR and CRP increased significantly,50%of the children have hepatic dysfunction,abnormal electrocardiogram and anemia.Early and timely standardized vein using IVIG can ef ectively reduce and prevent the coronary artery damage.Conclusion Kawasaki disease in children has many dif erent and diverse manifestations,and is easily complicated with coronary artery damages.Much more at ention should be paid to diagnose the incomplete Kawasaki disease and Intravenous immunoglobulin unresponsive Kawasaki Disease.