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目的 了解江苏省川崎病发病情况、流行特征。方法 制作统一调查表 ,寄发至全省有儿科病床县、市级医院 ,对 1993年 1月至 1997年 12月 5年间住院川崎病病人进行调查 ,收集调查表 ,对发病年度、年龄、性别、季节、地区等方面进行分析。结果 1993～ 1997年全省川崎病发病共5 0 9例 ,有逐年增加趋势 ,但未发现流行。 5岁以下儿童发病率为 2 .5 3/ 10万。男性发病多于女性 ,<2岁组男女之比为 2 .1,2～ 4岁组为 1.7,5～ 9岁组为 1.6。男女发病年龄高峰在 6月龄至 2岁之间。南京、镇江、扬州为高发地区尤以南京最高。 5 0 9例中 6 9例发生心脏后遗症 (13.6 % ) ,以 <2岁男性发生率高。本组病例仅 1例复发 ,2例死亡。结论 江苏省川崎病发病趋势与日本相似 ,男孩多于女孩 ,春季多见 ,心脏后遗症发生率与日本相似 ,但川崎病发病率明显低于日本 ,发病年龄高峰较日本后移 1岁
Objective To understand the incidence and epidemic characteristics of Kawasaki disease in Jiangsu Province. Methods A unified questionnaire was produced and sent to the county and municipal hospitals that have pediatric beds in the province. The patients who were hospitalized for Kawasaki disease from January 1993 to December 1997 were investigated and the questionnaires were collected. The incidence, age, gender , Season, area and other aspects of analysis. Results From 1993 to 1997, the incidence of Kawasaki disease in the whole province was 599 cases, increasing year by year, but no epidemic was found. The incidence of children under the age of 5 was 2.53 / 100,000. The incidence of males was higher than that of females, the ratio of male to female <2 years old was 2.1, that of male aged 2 to 4 was 1.7, and that of females was 1.5 to 9 years old. Male and female peak age of onset between 6 months to 2 years old. Nanjing, Zhenjiang, Yangzhou, especially for the high incidence of Nanjing, the highest. In 59 cases, 69 cases had sequelae of the heart (13.6%), with a high incidence in men <2 years of age. Only 1 case of this group of patients relapsed, 2 patients died. Conclusion The incidence of Kawasaki disease in Jiangsu Province is similar to that in Japan. There are more boys than girls. The incidence of Kawasaki disease is much lower than that of Japan in Japan. The peak age of onset is 1 year older than Japan