【摘要】 【目的】了解广州市黄埔区川崎病发病情况及流行病学特征及治疗现状。【方法】根据日本川崎病研究课题组“川崎病诊断标准”,按“广东省小儿川崎病研究协作组”制定的调查表,选择1999年1月~2003年12月5年期间在广州市黄埔区二级甲等医院以上设有儿科病床医院的全部门诊和住院患儿进行登记调查。对发病年龄、性别、季节、各系统及心血管并发症等进行分析。【结果】5年间川崎病发病共183例,发病有增多趋势,男性发病占63.39%,其年龄:<1岁占5.64%,1~4岁占33.88%,以4~6岁占53.55%。以4~6月份为高峰,11月份发病最低,有冠状动脉病变占22.40%。【结论】川崎病在我区春季发病率高于秋季,男性略高于女性,由于川崎病导致心脏病发病率仍较高,作为基层医师,既要重视本病早期诊断和治疗,还要加强对远期并发症的预防。更多还原

【Abstract】 【Objective】 To have a retrospective study on the epidemiological information and current treatment of Kawasaki disease in Huangpu district,Guangzhou. 【Methods】 According to the diagnostic standard of Kawasaki disease instituted by the Kawasaki disease Research Group,the documented pediatric outpatients and inpatients were reviewed in Huangpu district from January 1999 to December 2003.The relevant information was filed in an investigation form designed by the Cantonese Province Kawasaki Disease Research Corporation Group.The age of onset,gender,involved systems and cardiovascular complication of patients were analyzed. 【Results】 183 cases Kawasaki disease were reported in theses five years,an increasing tendency of onset was noticed in recent years.The male pediatric patients accounted for 63.39%.The percentage of patients under 1-year-old was 5.64% and this figure was 33.88% in patients aged between 1 and 4 years old.But in this district with 53.55% was aged between 4 and 6 years old.The peak of onset every year was among April and June and the bottom was on November.22.40% of the cases were found to have the complication of coronary artery disease. 【Conclusion】 The incidence of the Kawasaki disease in Huangpu district in spring is higher than in autumn.The male children have a slight higher incidence than female children.As the cardiovascular complication of Kawasaki disease is still relatively high.The early diagnosis and management,as well as the prevention of long-term complication,should be taken into account by the physicians working in the community.更多还原