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目的探讨不典型川崎病(KD)的诊断和治疗方法,尽量减少临床中的误诊率,降低患病儿童冠状动脉损伤的风险。方法对我院儿科2010年1月到2012年6月间收治的23例不典型KD患儿病情及诊疗情况进行回顾性分析与总结。结果 23例病例中合并冠状动脉损伤者5例,其中冠脉扩张者1例,冠脉管腔不规则4例,经过6个月随访,病情好转,均未发生冠状动脉瘤。结论不典型KD极易误诊,应该全面了解不典型KD的临床表现,做到及早诊断,及时应用免疫球蛋白,减少冠状动脉的损伤。
Objective To investigate the diagnosis and treatment of atypical Kawasaki disease (KD), minimize the rate of misdiagnosis in clinic and reduce the risk of coronary artery injury in children. Methods A retrospective analysis and summary of 23 patients with atypical KD admitted to our hospital from January 2010 to June 2012 were retrospectively analyzed. Results There were 5 cases of coronary artery injury in 23 cases, including 1 case of coronary dilatation and 4 cases of irregular coronary arteries. After 6 months follow-up, the condition improved without coronary aneurysm. Conclusions Atypical KD can be easily misdiagnosed, and the clinical manifestations of atypical KD should be fully understood. Early diagnosis, timely application of immunoglobulin and reduction of coronary artery injury should be done.