Hamada Hiromichi
Nihon Rinsho. 2014 Sep;72(9):1612-6.
Aspirin was first used for patients with Kawasaki disease(KD) at 1970s. Favorable outcomes of KD patients treated with aspirin were reported in 1970-80s and now it is one of the standard therapeutic agents for KD. Its anti-inflammation effects suppress vascular wall inflammation of KD at acute phase. In addition, its antiplatelet effects heal endothelial dysfunction and prevent clot formation in coronary arteries at sub-acute and convalescent phase. Long-term dosage for patients with coronary artery aneurysms(CAA) is also important, however, there are few evidences of risk-benefit assessment for its long-term use especially for middle-aged and senior adults with KD and CAA.
阿司匹林于20世纪70年代首次用于川崎病(KD)患者。20世纪70 - 80年代报告了用阿司匹林治疗的KD患者取得了良好疗效,如今它是KD的标准治疗药物之一。其抗炎作用在急性期可抑制KD的血管壁炎症。此外,其抗血小板作用可修复内皮功能障碍,并在亚急性期和恢复期预防冠状动脉内血栓形成。然而,冠状动脉瘤(CAA)患者的长期用药剂量也很重要,但其长期使用的风险效益评估证据较少,尤其是对于患有KD和CAA的中老年成年人。