川崎病误诊漏诊临床分析

目的 探讨川崎病误诊漏诊的原因.方法 回顾性分析27例川崎病误诊漏诊的临床资料.结果 27例误诊漏诊的患儿中误诊为支气管肺炎8例,咽结合膜热6例,急性化脓性扁桃体炎5例,幼年类风湿关节炎(全身型)4例,败血症3例,急性胆囊炎并胆囊积液1例.主要因疾病表现不典型或被其他疾病掩盖而误诊漏诊.结论 川崎病误诊漏诊的主要疾病是发热性疾病,对那些不能用单一疾病作出合理解释的发热性疾病,应尽早作心脏B超及相应检查,以便早期诊断、早期治疗.

Clinjcal analysis of misdiagnosis and missed diagnosis for Kawasaki disease

Objective To explore the factors of misdiagnosis and missed diagnosis for Kawasaki disease.Methods Clinical data of 27 cases misdiagnosed and missed-diagnosed in Department of Pediatrics of our hospital were retrospectively analyzed.Results There were 8 cases of bronchopneumonia,6 cases of pharyngo-conjunctival fever,5 cases of acute suppurative tonsillitis,4 cases of juvenile rheumatoid arthritis(systemic onset),3 cases of septicemia and 1 case of acute cholecystitis combined hydrops of gallbladder.All these cases were misdiagnosed and missed-diagnosed because the clinical features were not manifest or were covered by other diseases.Conclusion Kawasaki disease was mainly misdiagnosed as fever disease.Echocardiography and other correlative methods should be taken for fever disease which was not reasonably explained by single disease in order to early diagnose and treat Kawasaki disease.