62例川崎病患儿的临床特征分析
Analysis of clinical characteristics of 62 children with Kawasaki disease
许丹妮 1黄树稳1
作者信息
- 1. 南宁市妇幼保健院儿科,广西南宁 530011
- 折叠
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.
Abstract
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.
关键词
川崎病/临床特征/冠状动脉病变Key words
Kawasaki disease/Clinical characteristic/Coronary artery lesion引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据