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A clinical analysis of 125 cases of Kawasaki Disease
Author(s): 
Pages: 69-71
Year: Issue:  1
Journal: CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY

Keyword:  黏膜皮肤淋巴结综合征冠状动脉疾病免疫球蛋白类静脉内;
Abstract: 目的 总结川崎病(KD)的临床特征.方法 对住院KD 125例进行回顾性分析:(1)典型及不完全性KD各种临床表现;(2)冠状动脉病变表现.结果 125例中男78例、女47例,男女比例为1.7∶1,年龄4岁内114例(91.2%),发病季节四季均可发病,以4~6月发病最高.KD中典型KD 87例(69.6%),不完全性KD 38例(30.4%),典型KD组的各种临床表现出现率高于不完全性KD组(P<0.01),而实验室检出阳性率则两组间差异无统计学意义(P>0.05).KD治疗前曾做UCG 115例,检出冠脉病变36例,占31.3%(36/115),冠脉瘤7例,占6.1%(7/115).结论 UCG及ECG检查能及时发现KD并发心血管病变,特别是UCG能及早发现KD并发冠脉病变.重视实验室检查有助于不完全性KD诊断,减少漏诊及误诊.
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