摘要
目的了解保定儿童医院住院患儿川崎病(KD)发病情况、流行病学特征及其临床表现。方法根据日本川崎病研究课题组"川崎病诊断标准",选择2003年1月—2006年12月4年期间全部住院患儿进行登记调查,对发病年龄、性别、季节及临床表现进行分析。结果4年间共收治64例KD患儿,发病率有增多趋势,男性发病占68.75%,女性发病占31.25%,男女发病比例为2.2∶1,发病年龄3个月～10岁,平均2.5岁。其中4岁以下占84.38%。每年4～6月为发病高峰,复发1例占1.5%,发热仍是常见临床表现,有冠状动脉病变者占26.57%(17/64)。结论KD在本地区4～6月为发病高峰,男多于女,冠脉损伤仍为最常见合并症,提示临床儿科医生应重视本病早期诊断及治疗。
OBJECTIVE To understand the prevalence situations, epidemiological characteristics and clinical features among hospitalized children with Kawasaki disease in Baoding Children＇s Hospital. METHODS To analyze onset age, gender, season and clinical features of all hospitalized children selected during the four-year period January 2003 and December 2006 by the ＂Kawasaki disease diagnostic criteria＂ from Japan＇ s Kawasaki disease research group. RESULTS During the four-year period 64 cases of child patients with KD were treated. The incidence rate showed a rising tendency of which 68.75% was male and 31.25% was female with a ratio 2.2：1 of male to female. Onset age ranged from 3 months old to 10 years old with an average of 2.5 years old and the percentage under 4 years old was 84.38%.The peak time was between April and June each year. One case of recurrence accounted for 1.5%.Fevers were still the common clinical features.Cases of coronary artery disease accounted for 26.57% （17/64）. CONCLUSION The peak time of KD in the region was between April to June.Male cases were more than female. Coronary artery injury was still the most common complication, which suggested that clinical pediatricians should pay attention to the early diagnosis and treatment of the disease.
出处
《中国初级卫生保健》
2008年第7期38-39,共2页
Chinese Primary Health Care
关键词
儿童
川崎病
流行病学特征
children, kawasaki disease, epidemidogieal characteristics
