63例川崎病临床分析

目的:探讨川崎病(KD)的诊断及临床特点。方法:回顾分析我院2004年6月至2011年1月收治63例KD患儿的临床资料。结果:68例中男女比例为1.3:1(36/27),5岁以下患儿发病占82.5%(52/63),非典型KD占31.2%(19/63)。典型KD组与非典型KD组在皮疹、结膜充血、手足硬性肿胀及脱皮、淋巴结肿大、CAL等方面比较差异有统计学意义(P<0.05)。结论:KD发病中非典型病例临床表现差异较大,容易误诊,尽早做心脏彩色多普勒检查对诊断KD有重要意义。

Clinical analysis of 63 patients with Kawasaki disease

Objective:To explore the diagnosis and clinical features of Kawasaki disease(KD).Methods:Clinical data of 63 patients with KD in the hospital from June 2004 to Jan 2011 were retrospectively analysed.Results:Male female ratio was 1.3:1(36/27)in which incidence in children under 5 years old was 82.5%(52/63),and untypical KD was 31.2%(19/63).There were statistical significance in rash,conjunctival congestion,and hand,foot swelling,peeling hard,lymphadenectasis and calculated average life(CAL) between typical KD group and untypical KD group(P<0.05).Conclusion:Heart color doppler should be examined in early in KD patients due to large differences in clinical manifestations of untypical cases and easily misdiagnosed.