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目的探讨不典型川崎病的早期诊断。方法对2006-01-01-2010-06-30我院收治的49例不典型川崎病患儿的临床资料进行回顾性分析。结果不典型川崎病49例中合并冠脉损害者12例,其中冠脉扩张11例,冠脉瘤1例。其中11例随诊1~3个月内恢复正常,1例目前仍未恢复。结论不典型川崎病临床表现不典型,易误诊漏诊,掌握不典型川崎病的特殊临床表现,常规心超检查,有助于早期诊断和治疗。
Objective To investigate the early diagnosis of atypical Kawasaki disease. Methods The clinical data of 49 cases of atypical Kawasaki disease admitted to our hospital from January 2006 to January 2010 were retrospectively analyzed. Results In 49 cases of atypical Kawasaki disease, 12 cases were complicated with coronary artery lesion, including 11 cases of coronary artery dilation and 1 case of coronary artery aneurysm. Among them, 11 cases returned to normal within 1 to 3 months and 1 patient has not recovered yet. Conclusions The clinical manifestations of atypical Kawasaki disease are not typical, misdiagnosis and missed diagnosis, to grasp the special clinical manifestations of atypical Kawasaki disease, conventional cardiac ultrasound, is helpful for early diagnosis and treatment.