| 王华,刘晓东,许超凡,等.川崎病 33例临床诊治分析[J].安徽医药,2020,24(2):344-346. |
| 川崎病 33例临床诊治分析 |
| Diagnosis ang treatment of Kawasaki disease:33 cases |
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| DOI：10.3969/j.issn.1009?6469.2020.02.033 |
| 中文关键词: 黏膜皮肤淋巴结综合征 丙种球蛋白类 冠状动脉疾病 C反应蛋白质 血小板计数 诊断 儿童 |
| 英文关键词: Mucocutaneous lymph node syndrome Gamma?globulins Coronary artery disease C?reactive protein Platelet Count Diagnosis Child |
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| 中文摘要: |
| 目的探讨川崎病的诊断要点、冠脉损害及治疗与转归。方法回顾分析 33例川崎病病儿的临床资料及诊治情况并作出评价。结果 33例中，典型川崎病组 26例，不完全型川崎病组 7例，静脉丙种球蛋白( IVIG)耐药 3例；并发冠状动脉受累 2例随访 2年，均恢复正常。结论不完全型川崎病早期识别困难，易延误诊治，对疑似病例须结合超声心动图协助诊断，并动态监测血白细胞(WBC)、红细胞沉降率(ESR)、C反应蛋白(CRP)及血小板(PLT)变化，有助于减少或避免冠状动脉病变的发生。 |
| 英文摘要: |
| Objective To investigate the diagnosis points，coronary lesions，treatment and outcome of Kawasaki disease.Methods The clinical data，diagnosis and treatment of 33 children with Kawasaki disease were retrospectively analyzed and evaluated.Results Of the 33 patients，26 were in the typical Kawasaki disease group，7 in the incomplete Kawasaki disease group，and 3 in the venous gamma globulin(IVIG)group.Two patients with coronary artery involvement were followed up for 2 years and returned to normal. Conclusion Incomplete type of Kawasaki disease is difficult to identify early，and it is easy to delay diagnosis and treatment.It isnecessary to cooperate with echocardiography to assist diagnosis in suspected cases，and dynamically monitor changes in blood WBC，ESR，CRP and PLT，which can help reduce or avoid the occurrence of coronary artery disease. |
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