摘要
目的 分析62例川崎病患儿的临床特征。方法 选取2020年6月至2022年9月于南宁市妇幼保健院住院的62例川崎病患儿,回顾性分析临床资料并总结临床特征。结果 62例川崎病患儿中,完全川崎病43例(69.35%),不完全川崎病19例(30.65%)。完全川崎病组患儿年龄较大,且皮疹、结膜充血、口唇皲裂、杨梅舌、手足红肿脱屑发生率高于不完全川崎病组(P <0.05)。两组各实验室检查结果比较,差异无统计学意义(P> 0.05)。62例川崎病患儿中,50例发生冠状动脉病变,1例冠状动脉瘤。两组超声心动图检查结果比较,差异无统计学意义(P>0.05)。结论 川崎病患儿冠状动脉病变发生率较高,完全川崎病与不完全川崎病患儿的年龄及部分临床表现具有差异。可通过观察患儿的临床表现,结合实验室检查及超声心动图检查结果,减少漏诊和误诊的发生。
Objective To analyze the clinical characteristics of 62 children with Kawasaki disease.Methods A total of 62 children with Kawasaki disease who were hospitalized in Nanning Maternity and Child Health Hospital from June 2020 to September 2022 were selected to retrospectively analyze the clinical data and summarize the clinical characteristics.Results Among 62 children with Kawasaki disease,43 cases(69.35%)were complete Kawasaki disease and 19 cases(30.65%)were incomplete Kawasaki disease.The incidence of rashes,conjunctival congestion,lip chapping,bayberry tongue,red swelling,and desquamation of hands and feet in complete Kawasaki disease group was higher than that in incomplete Kawasaki disease group(P<0.05).There were no significant differences in the results of laboratory examination between the two groups(P>0.05).Among 62 children with Kawasaki disease,50 cases had coronary artery lesion and 1 case had coronary artery aneurysm.There were no significant differences in echocardiographic results between the two groups(P>0.05).Conclusion The incidence of coronary artery lesion is higher in children with Kawasaki disease,and there are differences in age and some clinical manifestations between children with complete Kawasaki disease and incomplete Kawasaki disease.The occurrence of missed diagnosis and misdiagnosis can be reduced by observing the clinical manifestations of children and combining the results of laboratory examination and echocardiography.
作者
许丹妮
黄树稳
XU Danni;HUANG Shuwen(Department of Pediatrics,Nanning Maternity and Child Health Hospital,Guangxi Zhuang Autonomous Region,Nanning 530011,China)
出处
《妇儿健康导刊》
2024年第9期194-198,共5页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
川崎病
临床特征
冠状动脉病变
Kawasaki disease
Clinical characteristic
Coronary artery lesion
