川崎病并发冠状动脉病变高危因素分析

目的:探讨川崎病(kawasaki disease,KD)并发冠状动脉病变(coronary artery lesion,CAL)的危险因素。方法:回顾性分析2003年1月~2008年9月142例住院KD患儿的临床资料,分析KD并发冠状动脉病变的高危因素。结果:142例KD中并发CAL34例(23.9%),相关因素分析显示发病年龄、发热持续时间、血小板计数、低蛋白血症、低血钾与CAL发生有密切关系。结论:3岁以下患儿、血小板计数升高、发热持续时间长、低蛋白血症、低血钾是CAL的高危因素。

High risk factors in Kawasaki disease associated with coronary artery lesion

Objective ：To investigate the risk factors of Kawasaki disease （KD） complicated with coronary artery lesion （CAL）. Methods：The clinical data were reviewed in 142 hospitalized patients with KD between January 2003 and September 2008 for analyzing the high risk factors associated with CAL. Results ： Of the 142 cases, 34 （ 23.9% ） were complicated with CAL and the risk factors were involved in ages, duration of fever, level of platelet, hypoproteinemia and hypokalemia. Conclusion ： The high risk factors with CAL are characterized by increased level of platelet, extended duration of fever, hypoproteinemia and hypokalemia for the young patients under 3 years of age.