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目的目的探讨川崎病患儿的临床特征、易被延误诊断的原因与治疗方法。方法法选取我院收治的川崎病患儿80例,患儿收治时间在2013年2月~2015年7月间,对患儿的临床资料进行回顾性分析,分析患儿的主要临床特征、易被延误诊断的原因与治疗方法。结果 1不完全性川崎病患儿的冠状动脉病变发生率为36.36%,典型川崎病患儿的冠状动脉病变发生率为3.45%,对比有统计学意义(P<0.05)。2典型川崎病患儿的C反应蛋白上升、血沉上升、血小板上升、白细胞上升率高于不完全性川崎病患儿,对比存在统计学意义(P<0.05)。3川崎病患者延误诊断的原因包括临床医师对非典型川崎病缺乏足够的认识、患儿首发症状比较少见。结论川崎病患儿要尽早入院诊断与治疗,及时接受治疗,可降低冠脉病变发生风险,促使患儿病情改善。
Objective To explore the clinical features of children with Kawasaki disease, the reasons for delayed diagnosis and treatment methods. METHODS: Eighty children with Kawasaki disease admitted to our hospital were selected from February 2013 to July 2015. The clinical data of the children were analyzed retrospectively. The main clinical features of the children were analyzed. The reasons for delayed diagnosis and treatment. Results 1 The incidence of coronary artery lesions in children with incomplete Kawasaki disease was 36.36%. The incidence of coronary artery lesions in children with typical Kawasaki disease was 3.45%, with statistical significance (P <0.05). There was a statistically significant difference between the two groups (P <0.05) .2 There was a statistically significant difference in C-reactive protein, erythrocyte sedimentation rate, thrombocytopenia, and leukocyte rise in children with Kawasaki disease. 3 Kawasaki disease patients delayed diagnosis due to clinicians including atypical Kawasaki disease lack of adequate understanding of the first symptoms in children is relatively rare. Conclusion Children with Kawasaki disease should be diagnosed and treated as soon as possible and receive timely treatment, which can reduce the risk of coronary artery disease and promote the improvement of children’s condition.