儿童不完全川崎病34例临床分析

目的:探讨儿童不完全川崎病的早期诊断和治疗经验。方法:回顾性分析1997年1月~2007年1月,34例临床表现未达川崎病全部诊断标准的住院患儿的临床资料。结果:34例患儿发热均超过5天,在川崎病其他5项临床诊断特征中,仅具有3项者20例(58.8%),仅具有2项者14例(41.2%)。初次诊断误诊10例(29.4%),经静脉滴注丙种球蛋白和阿司匹林治疗,均获治愈或好转。结论:不完全川崎病早期易误诊,尽早诊断、正确治疗可获得满意的结果。

Clinical Analysis of 34 Cases of Incomplete Kawasaki Disease in Children

Objective:For early diagnoses and treatment of incomplete Kawasaki disease,the clinical features of incomplete Kawasaki were analyzed.Methods:Clinical data of 34 cases of incomplete Kawasaki disease in children from Janurary 1997 to Janurary 2007 were studies.Results:Patients of fever persisting at least 5 days is 34;20patients(58.8%)presented 3 of 5 other principal features(exanthema,bulbar conjunctival injection,erythema,cracking of lips,erythema and lymph nodes edema);14 patients(41.2%)prestnt only 2 of 5 other principal features.10 patients(29.4%)were misdiagnosis in early stage.Conclusion:Incomplete Kawasaki disease usually misdiagnosis in early stage,early diagnoses and optimal treatment may improve its prognosis.