小婴儿川崎病29例临床分析

目的探讨小婴儿川崎病（KD）的临床特点。方法对住院的29例年龄小于6个月小婴儿KD的临床资料进行回顾性分析。结果小婴儿KD中非典型病例发病率高,心脏受累较普遍,平均确诊时间长,误诊率高。结论年龄小于6个月小婴儿发热持续5d以上,同时有系统组织炎症的实验室指标而不能用其它疾病解释时应警惕KD。

Clinical Analysis of Kawasaki Disease in 29 Cases of Little Infants WANG

Objective To investigate clinical features of Kawasaki disease in infants under 6 months. Methods The clinical data of 29 infants under 6 months suffering from Kawasaki disease were analyzed retrospectively. Results The incidence of the atypical Kawasaki disease was higher in the little infants. The heart was usually harmed and the average final diagnosis time was long, the misdiagnosis rate was high. Conclusions Kawasaki disease should be assumed when fever lasted at least 5 days and there is laboratory index of systemic tissue inflammation in infants under 6 months which can not be explained using other disease.