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目的:对川崎病患儿的实验室检查指标进行分析,探讨各项实验室指标异常协助临床诊断的意义,尤其在门诊早期诊断中的重要意义。方法:根据川崎病的诊断标准,对北京市丰台区妇幼保健院和首都儿科研究所附属儿童医院门急诊于2007年8月~2009年7月就诊的44例(确诊)川崎病患儿的早期实验室资料(发热5天内)进行汇总,并与同期门诊的发热5天以上的患儿360例进行对照,同时行卡方检验。结果:确诊川崎病44例中,患儿CRP、ESR、PLT、WBC升高和Hb降低的发生率分别为93.2%、97.7%、95.5%、88.6%和47.7%。结论:川崎病急性期CRP、ESR、PLT、WBC升高的发生率基本上均在90%以上,可以协助川崎病临床早期诊断。
OBJECTIVE: To analyze the laboratory tests of children with Kawasaki disease and to explore the significance of various laboratory indexes in assisting the clinical diagnosis, especially in the early diagnosis of outpatients. Methods: According to the diagnostic criteria of Kawasaki disease, 44 cases (diagnosed) of children with Kawasaki disease were treated in Fengtai District Maternal and Child Health Hospital of Beijing and Children’s Hospital Affiliated to Capital Institute of Pediatrics from August 2007 to July 2009 Laboratory data (within 5 days of fever) were summarized and compared with 360 cases of children with fever over 5 days in the same period, and chi-square test was performed at the same time. Results: The incidence of CRP, ESR, PLT, WBC and Hb in children with Kawasaki disease was 93.2%, 97.7%, 95.5%, 88.6% and 47.7% respectively. Conclusion: The incidence of Kawasaki disease acute stage of CRP, ESR, PLT, WBC are basically more than 90%, can help Kawasaki clinical early diagnosis.