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日本全国川崎病调查。

Nationwide survey on Kawasaki disease in Japan.

作者信息

Yanagawa H, Kawasaki T, Shigematsu I

出版信息

Pediatrics. 1987 Jul;80(1):58-62.

PMID:3601519
Abstract

Results of the statistical analysis of a nationwide survey of patients with Kawasaki disease diagnosed within a 2-year 6-month period, from July 1982 to December 1984, are as follows. (1) The cumulative number of patients reported by the end of 1984 was 63,399 (36,891 boys and 26,508 girls; male to female ratio 1.4). (2) There were two epidemic years, 1979 and 1982, in which the numbers of patients were more than twofold that of the previous years. (3) A curve plotted for age-specific incidence rate showed a unimodal peak at age 1 year. (4) Steroid therapy was used for 6.3% of the patients, aspirin for 89.8%, antibiotics for 57.6%, and gamma-globulin for 11.4%. (5) The proportion of sibling cases was 1.4% and that of recurrent cases was 3.9% of all cases reported. (6) The incidence of cardiac sequelae in 1 month after disease onset was 17.2%.

摘要

对1982年7月至1984年12月这两年零六个月期间全国范围内诊断出的川崎病患者进行的统计分析结果如下:(1)截至1984年底报告的患者累计人数为63399人(男孩36891人,女孩26508人;男女比例为1.4)。(2)有两个流行年份,即1979年和1982年,这两年的患者人数比前几年增加了两倍多。(3)按年龄划分的发病率曲线在1岁时呈现单峰。(4)6.3%的患者使用了类固醇疗法,89.8%的患者使用了阿司匹林,57.6%的患者使用了抗生素,11.4%的患者使用了丙种球蛋白。(5)同胞病例占所有报告病例的1.4%,复发病例占3.9%。(6)疾病发作后1个月内心脏后遗症的发生率为17.2%。

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