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目的：研究大理地区川崎病 (KD)的临床特征。方法：对 70例 KD进行临床回顾分析。结果： 70例 KD病人中 58例 (占 82.9％ )符合 KD诊断标准， 12例 (占 17.1％ )为不典型 KD病例，并发症发生率 51.4％，以心血管较重 (占 44.3％ )。所有病人给予口服阿斯匹林 (ASA)治疗， 36例加用静脉输注丙种球蛋白 (IVIG)，退热时间及临床症状改善较单用 ASA组缩短 3天，所有病例治愈或好转出院。结论： KD是全身性多系统损害的疾病，不典型病例多，二维超声心动图 (2DE)及血小板 (PLT)动态观察对诊断有重要价值， ASA加 IVIG是目前治疗最有效方法，早期诊治是防治并发症的关键。
Objective: To study the clinical characteristics of Kawasaki disease (KD) in Dali area. Methods: 70 cases of KD clinical review. Results: Of the 70 KD patients, 58 (82.9%) met the KD diagnostic criteria, 12 (17.1%) were atypical KD cases, with a complication rate of 51.4% and severe cardiovascular disease (44.3%). All patients were treated with oral aspirin (ASA), 36 cases with intravenous infusion of gamma globulin (IVIG), and the improvement of antipyretic time and clinical symptoms were shortened by 3 days compared with ASA alone. All cases were cured or better discharged. Conclusions: KD is a systemic and multi-systemic lesion. There are many atypical cases. Dynamic observation of two-dimensional echocardiography (2DE) and platelet (PLT) is of great value in the diagnosis. ASA plus IVIG is the most effective method for the treatment at present. Early diagnosis and treatment Is the key to prevention and treatment of complications.