在小儿年龄范围的两端未能诊断出川崎病。
Failure to diagnose Kawasaki disease at the extremes of the pediatric age range.
作者信息
Pannaraj Pia S, Turner Christena L, Bastian John F, Burns Jane C
机构信息
Department of Pediatrics, University of California, San Diego, La Jolla, CA, USA.
出版信息
Pediatr Infect Dis J. 2004 Aug;23(8):789-91. doi: 10.1097/01.inf.0000134312.39744.a4.
To learn about physician practices in diagnosing Kawasaki disease, we surveyed general pediatricians and pediatric infectious disease physicians by questionnaire. A high proportion of general pediatricians (>50%) and infectious disease subspecialists (25%) did not consider the diagnosis of Kawasaki disease in children younger than 6 months and older than 8 years. Failure to consider the diagnosis at the extremes of the pediatric age range puts children at risk because coronary artery abnormalities occur more often in young infants and adolescents with Kawasaki disease.
为了解医生诊断川崎病的实践情况，我们通过问卷调查的方式对普通儿科医生和儿科传染病医生进行了调查。很大比例的普通儿科医生（>50%）和传染病专科医生（25%）没有考虑对6个月以下和8岁以上儿童进行川崎病的诊断。在儿科年龄范围的两端未能考虑进行该诊断会使儿童面临风险，因为川崎病在幼儿和青少年中更常出现冠状动脉异常。
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