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目的 了解陕西省川崎病的实际发病情况、分布及流行病学现状。方法 采用日本中国川崎病流行病学调查组 1998年东京会议制定的统一标准 ,对 10 0张床位以上的二级甲等医院的15 0家儿科发出统一制定的流行病学调查表 ,选择 1993年 1月～ 1997年 12月儿科住院的川崎病初诊患儿进行登记调查。结果 调查表回收率 70 % ,5年间共报告患者 376例 ,男女之比 1.6 1∶1;发病年龄以 3岁以下为主 ,占 6 9% ;死亡率 1% ;发生心脏后遗症共 70例 ,占患者总数的 18.6 2 % ,男女之比为 3.1∶1,年龄越小 ,心脏后遗症的发病率越高 ,以冠状动脉扩张及冠状动脉瘤为主 ;在病后 6d确诊者较少 ,且城市大医院病例数多 ,边远地区病例数少。结论 川崎病是我省儿童较常见的疾病 ,西安地区是高发病区 ,3岁以下发病率高 ,心脏后遗症多。提示川崎病的研究目前已经成为儿科心血管领域的重要课题。应提高广大基层医师对该病的认识 ,做到早诊早治 ,降低发病率及死亡率
Objective To understand the actual incidence, distribution and epidemiological status of Kawasaki disease in Shaanxi province. Methods Uniform standards established by the Japan Kawasaki Disease Epidemiology Investigation Group in Tokyo in 1998 were used to issue a unified epidemiological survey of 150 pediatrics of Grade A and Hospitals in more than 100 beds. From January to December 1997, pediatric Kawasaki disease hospitalization was investigated. The results of the questionnaire recovery rate of 70%, 5 years, a total of 376 patients were reported in the report, the ratio of male to female 1.6: 1; onset age below 3 years of age, accounting for 69%; mortality 1%; 70 cases of heart sequelae, Accounting for 18.6% of the total number of patients, male to female ratio was 3.1: 1, the younger the incidence of heart sequelae higher coronary artery dilation and coronary aneurysm; less diagnosis 6d after the illness, and the city Large number of hospital cases, fewer cases in remote areas. Conclusions Kawasaki disease is a common disease in children in our province. In Xi’an, it is a high incidence area, with a high incidence under 3 years of age and many heart sequelae. Prompt Kawasaki disease research has now become an important issue in the pediatric cardiovascular field. The grassroots physicians should raise their awareness of the disease so as to make early diagnosis and early treatment and reduce morbidity and mortality