摘要
作者10年间收集川崎病(KD)患儿82例,发病年龄≤3岁53例,占64.5％;经二维超声心动图检查,检出冠状动脉病变(CAD)33例(40％),随访30例,IVIG 1g·kg^(-1)·次^(-1)治疗31例,热程、住院日较未用组明显缩短;随访1个月～7年,无死亡或复发病例。结果表明,二维超声心动图检查敏感性高,安全,简便,可靠,无创伤,重复性好,拟患KD应作此检查;对于所有KD患儿应长期随访。本组病例提示IVIG对CAD具有治疗效应;探讨IVIG经济有效的剂量,仍为儿科医师关注的问题。
Among 82 cases of Kawasaki disease(KD) there were 53 cases under 3 years old (64.5%) .In echocadiographic examination 33 cases (40%)were found ill with coronary artery disorders (CAD) ,and from them 30 cases were followed up.31 cases were treated with IVIG.lg·kg'1 each time. Compared with the other group, their fever period and the hospitalization days were obvious shorter;following-up from 1 month to 7 years,there was no patient who relapsed or died.The results showed that echocardiographic examination was high sensitive,safe,simple,reliable,noninvasive and repeatable.Patients with Kawasaki disease should make echocadiographic examination. All of children with Kawasaki disease should be followed up over a long period of time.The result showed also that IVIG has therapeutic effect for CAD.To ascertain the effective and economical dosage of IVIG is still a problem considered by the pediatrician.
出处
《医学理论与实践》
2003年第5期502-503,共2页
The Journal of Medical Theory and Practice
