3月龄以下婴儿川崎病17例临床特点分析

目的:通过对3月龄以下小婴儿川崎病(KD)的临床特点分析,提高对小婴儿KD的早期观察和诊断,减少冠状动脉并发症的发生。方法:对17例3月龄以下川崎病患儿临床资料进行回顾性分析。结果:3月龄以下婴儿川崎病,临床表现不典型,以不完全川崎病例为多发,冠状动脉受累较多,平均确诊时间长,误诊率高。结论:对可疑病例进行冠状动脉监测,是早期诊断小婴儿川崎病的惟一方法。临床上凡遇不明原因发热5 d以上,治疗效果不理想的3月龄以下小婴儿,应警惕川崎病的发生,以早期诊断及改变预后。

The Analysis of The Clinic Characteristics of Kawasaki in 17 Babies Younger than3 Months Old

Objective To analyze the clinical characteristics of Kawasaki Disease(KD) in the infant younger than 3 months old which lead to early observation and diagnosis of KD in infants and decrease the incidence of coronary complications.Methods Retrospective analysis of clinic data of 17 Kawasaki infants less than 3 months was done.Results The clinic characteristics of KD in infants younger than 3 months old were atypical,most of them presented incompletely and the coronary artery always were injured.Long time was spent to diagnose and many were misdiagnosed.Conclusion It is the only way for early diagnosis KD in infants that coronary artery was monitored in suspicious patients.Infants younger than 3 months old should be suspicious of KD who had fever lasting for at least 5 days with unknown reasons and the treatment is not efficient.It can lead to early diagnosis and improve prognosis.