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重庆医科大学儿科医院
纸质出版日期:1990,
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[1]邓蕾丽,彭之琳,陈路,李仕章,钱永如.皮肤粘膜淋巴结综合征166例临床分析[J].重庆医科大学学报,1990(02):137-140.
Deng Leili et al. KAWASAKI DISEASE: CLINICAL ANALYSIS OF 166 CASES[J]. Journal of Chongqing Medical University, 1990,(2):137-140.
[1]邓蕾丽,彭之琳,陈路,李仕章,钱永如.皮肤粘膜淋巴结综合征166例临床分析[J].重庆医科大学学报,1990(02):137-140. DOI: 10.13406/j.cnki.cyxb.1990.02.013.
Deng Leili et al. KAWASAKI DISEASE: CLINICAL ANALYSIS OF 166 CASES[J]. Journal of Chongqing Medical University, 1990,(2):137-140. DOI: 10.13406/j.cnki.cyxb.1990.02.013.
本文总结了儿科医院1984~1986两年中收治的166例皮肤粘膜淋巴结综合症患儿的临床及随访资料
揭示了重庆为本病之高发区
且发病多集中于冬春季节
呈小流行表现。系统观察了本病时心血管病变
有较完整的心电图及二维超声心动图资料并发现本症时ECG双峰T波较多见(44.9%)。对17例病儿测定了IgG亚类及循环免疫复合物
发现IgG
1
、IgG
3
明显增高
8例循环免疫复合物高于对照组。结合临床及随访资料对本病之发病率、病因、诊断、心血管病变及治疗等问题作了讨论
166 children with Kawasaki disease during Fab in 1984 to May in 1986 were followed-up
and the clinical datum were analysed The ages of 3 mo-3 years old were predominant group of them
It was much more common in the winter/spring
male was. more than female. The main manifestations included fever(100%)
conjnuctivitis (84.3%)
multiformal erythema(84.3%)
stomatitis(83.7%)
desquamation at digits and the periphery of anus(81.3%)
Scleredema in extremities (67.5%)and heart mur-mur(15.1%)0 There is only one case of myocardial infarction or Adams-Strockes syndrome respectively A bifid T wave was the most common feature among the various abnormalities of EKG but disappeared with recovering from the disease In 17 patients
the subypes of IgG were abnormal
A sign showed a wide coronary artery was discovered in 10 cases by echocardiogrephy and returned to normal size in 8 months. The disturbance of cardiovascular system was lesser severe in present study
no-bady had a coronary aneurysm All but one patient with myocardial infraction recovered completely in 3-4 weeks. The incidence
etiology
cardiovascular features
early dignosis and tretment on the disease were discussed
皮肤粘膜淋巴结综合症双峰T波IgG亚类循环免疫复合物
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