不完全川崎病与典型性川崎病对比分析

目的 探讨不完全川崎病与典型性川崎病的异同以便早诊断、早治疗.方法 回顾分析60例确诊为川崎病患儿的临床和实验室资料.结果 不完全川崎病临床诊断指标中的症状出现率较典型性川崎病低（x2 =16.46、10.10、11.71、34.43,均P＜0.01）,两者实验室检查指标WBC、Pt、ESR及CRP之间差异无统计学意义（x2 =0.04、0.12、0.04、0.26,均P＞0.05）,两者冠状动脉病变发生率差异有统计学意义（x2=31.43,P＜0.05）.结论 川崎病的早期诊断要结合临床特点、实验室检查和超声心动图检查.

Comparative analysis of incomplete Kawasaki disease and typical Kawasaki disease

Objective To investigate the similarities and differences of incomplete Kawasaki disease and typical Kawasaki disease,in order to provide basis for early diagnosis and treatment.Methods The clinical and laboratory data of 60 children with Kawasaki disease were retrospectively analyzed.Results The incidence rate of symptoms in clinical diagnostic criteria was lower in incomplete Kawasaki disease than that in typical Kawasaki disease（x2 =16.46,10.10,11.71,34.43,all P 〈 0.01）.No statistical differences of leukocytes,platelet,erythrocyte sedim-entation rate and C-reactive protein were found in the incomplete Kawasaki disease and typical Kawasaki disease（x2 =0.04,0.12,0.04,0.26,all P 〉 0.05）.The incidence rate of coronary artery lesions had significant difference between incomplete Kawasaki disease and typical Kawasaki disease （x2 =31.43,P 〈 0.01）.Conclusion The early diagnosis of Kawasaki disease could be confirmed by representative clinical characteristics,laboratory examination and ultrasound cardiogram.