资源描述：
《儿童川崎病98例临床诊治分析》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。
1、JLffl11崎IS98例够治»析2018-03-2110:12:00中国现代医生2018年2期朱加进伍万陈云龙［摘要］目的对川崎病(kawasakidisease,KD)患儿的临床表现及实验室结果进行分析，以提高诊治水平，减少并发症发生。方法收集2015年8月〜2017年7月收治的川崎病患儿98例，对临床资料进行整理和分析。结果研究发现本组患儿1〜3岁患病最多，共59例(A60.2%);临床表现屮发热最多见，占98.0%,U尨皲裂、杨梅舌占82.7%,颈部淋巴结肿大占74.5%,眼球结膜充血，占67.3%,皮疹占46.9%，手足硬肿及蜕皮占35.7%;可合并其他系统损伤，以支
2、气管肺炎最多见，共55例(56.1%):实验室检查：白细胞升高83例(84.7%)，白细胞降低5例(5.1%)；病程2周血小板增高93例(94.9%);C反应蛋白升高78例(79.6%);血沉增快66例(67.3%);血红蛋白<110g/L,32例(32.7%),血白蛋白降低18例(18.3%);冠状动脉扩张12例(12.2%)。结论儿童川崎病临床表现多样，应提髙认识，做到早期诊治，以减少并发症，降低病死率。［又键词］川崎病；儿:®.;临床表现；实验室检骑结果［巾阁分类号］R725.4［文献标I只码］B［文章编号】1673-9701(2018)02-0082-04［Abstra
3、ct］ObjectiveToanalyzetheclinicalmanifestationsandlaboratorytestresultsofchildrenwithKawasakidisease(KD)soastoimprovethediagnosisandtreatmentlevelandreducetheincidenceofcomplications.MethodsAtotalof98childrenwithKawasakidiseasewerecollectedfromAugust2015toJuly2017.Theclinicaldatawerecollected
4、andanalyzed.ResultsItwasfoundthatthechildrenaged1to3yearsaccountedforthemost，withatotalof59cases(60.2%).Inclinicalmanifestations,themostcommonwasfever,accountingfor98.0%,chappedlipsandbayberrytongueaccountedfor82.7%，hyperplasiaonneckaccountedfor74.5%,conjunctivalcongestionaccountedfor67.3%，s
5、kinrashesaccountedfor46.9%,andhandandfootsclerosisandmoltingaccountedfor35.7%.Othersystemdamagemaybecombinedwith,andbronchialpneumoniawasthemostcommon，withatotalof55cases(56.1%).LaboratoryExamination：whitebloodcellsin83cases(84.7%)，leukopeniain5cases(5.1%),thrombocytosisat2weeksofcoursein93c
6、ases(94.9%),Creactiveproteinincreasedin78cases(79.6%),fasterESRin66cases(67.3%),hemoglobin<110g/Lin32cases(32.7%),decreasedserumalbuminin18cases(18.3%),andcoronaryarterydilatationin12cases(accountingfor12.2%).ConclusionKawasakidiseaseinchildrenhasvariousclinicalmanifestations,andtheawareness
7、toitshouldberaised.AndtheKawasakidiseaseshouldbediagnosedandtreatedtoreducecomplicationsandmortality.［Keywords］Kawasakidisease；Children；Clinicalmanifestations；Laboratorytestresults川崎病(Kawasakidisease，KD)乂稱皮肤黏膜淋巴结综合征(MCLS)，是一种以全身血管炎性病变为病理特征的0身免疫性疾病，
