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28例不典型川崎病临床分析

Clinical analysis of 28 cases of atypical Kawasaki disease

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【作者】 钱三建

【Author】 QIAN Sanjian Department of Pediatrics,Maternal and Child Health Hospital of Jingzhou in Hubei Province,Jingzhou 434020,China

【机构】 湖北省荆州市妇幼保健院儿科

【摘要】 目的通过对不典型川崎病临床症状分析提高对不典型川崎病的认识及诊断水平。方法采用临床病例回顾性分析,对28例患儿主要川畸病症状发生率及典型性进行统计分析。结果在28例不典型川畸病中,发热出现率最高,而恢复期指趾部膜状蜕皮最具有特异性;而其他几种症状发生率相对较低并且可能呈非典型表现。结论因不典型川崎病临床诊断困难,在临床应提高警惕,怀疑本病可能时应及时行心脏彩超等相关检查。

【Abstract】 Objective To recognize of atypical kawasaki disease(KD) and improve the diagnosis level by retrospective review the clinic features.Methods The files of 28 atypical KD patients were investigated retrospectively and incidence rate and typicalness of major symptoms were analyzed by appropriate statistical tests.Results The results showed that fever appeared frequently,peeling of the skin on the tips of the fingers and toes had best significant peculiarity during restoration stage,other symptoms showed relatively low and be atypical.Conclusion The clinical characteristics of atypical KD were no-typical and the early diagnosis was difficulty.Special attention should be paid when KD was suspected and Echocardiography should be performed as early as possible in patients.

  • 【文献出处】 中国现代医生 ,China Modern Doctor , 编辑部邮箱 ,2012年32期
  • 【分类号】R725.4
  • 【被引频次】3
  • 【下载频次】35
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