【摘要】 目的总结川崎病的临床特点,为尽早正确诊断川崎病提供临床依据。方法对136例川崎病患儿的临床资料进行回顾性分析。结果136例患儿中3岁以内(包括3岁)占88.9%,发病季节以冬春季为主;不典型川崎病24例(17.6%);全部病例均有发热5天以上,其他症状出现的频率依次是:口腔粘膜改变(95.6%),指趾端脱皮(94.1%),球结膜充血(88.2%),淋巴结肿大(86.8%),皮疹(82.4%)。并发症中,冠状动脉改变68例(56.7%),心电图异常21例(27.6%),心肌酶升高42例(48.8%),肺炎18例(32.1%),尿蛋白阳性8例(5.9%),肝功损害1例(0.7%)。结论川崎病是全身性血管炎性疾病,主要发生于婴幼儿,其主要并发症是心血管损害。更多还原

【Abstract】 Objective The aim of the study was to analyze the clinical features and complications of Kawasaki disease(KD).Methods 136 patients with KD were hospitalized from 2002 to 2006.Their clinical features and complications were investaged.Results Among the 136 patients,88 were male and 48 were female.88.9% of them were younger than 3 years old.Depending on the criteria of KD,112(82.4%) were diagnosed as typical KD and 24(17.6%) were atypical KD.All patients had fever lasting for 5 days.The common clinical features were changes in oral mucosa(95.6%),changes in the extremities(94.1%),conjunctivitis(88.2%),cervical lymphadenopathy(86.8%) and rash(82.4%).Before the treatment,coronary artery abnormalities were seen in 68/120(64.6%) and changes in ECG 21/76(27.6%),cardiac enzymology abnormal 42/86(48.8%),pneumonias 18/56(32.1%),urine proteins 8/136(5.9%) and changes in liver 1/136(0.7%).Conclusions Kawasaki disease was blood vessel inflammations of all over the body,whose complications were cardiovascular.更多还原