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目的进一步掌握川崎病(KD)的临床特征,提高诊治水平。方法分析58例川崎病患者的发病特点临床表现,进行回顾性分析。结果 58例KD患儿中接受超声心动图检查46例,其中左冠状动脉扩张20例,占34.1%,右冠状动脉扩张16例,占27.6%。冠状动脉壁不规则10例。入院误诊25例,入院误诊率43%。结论对疑似患者进行细致的动态观察,是降低误诊率的关键。早期超声心动检查确诊心脏受损程度。
Objective To further understand the clinical features of Kawasaki disease (KD) and improve the diagnosis and treatment. Methods Fifty-eight Kawasaki disease patients were analyzed for clinical features and analyzed retrospectively. Results 58 cases of KD children underwent echocardiography in 46 cases, of which 20 cases of left coronary artery dilation, accounting for 34.1%, right coronary artery in 16 cases, accounting for 27.6%. Coronary artery wall irregular 10 cases. Admitted to misdiagnosis in 25 cases, admission rate of 43% misdiagnosis. Conclusions The detailed dynamic observation of suspected patients is the key to reduce the rate of misdiagnosis. Early echocardiography confirmed the extent of heart damage.