Lu C P, Lee W J, Ho M M, Hwang K C
Department of Pediatrics, Taiwan Provincial Tao-Yuan General Hospital, Tao-Yuan, R.O.C.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1993 May-Jun;34(3):173-80.
From April 1983 to August 1991, 70 cases of Kawasaki disease were admitted to Taiwan Provincial Tao-Yuan General Hospital. Fifty-seven patients treated with aspirin 80-100 mg/kg/day alone during the acute phase were followed by two-dimensional echocardiography for two weeks to two years. Twelve cases (21%) complicated with coronary arterial aneurysm (CAA) were referred as high risk group. Those who had no CAA were a low risk group. Stepwise discriminant analysis was performed to obtain risk factors of CAA based on clinical and early laboratory data. This yielded a classification accuracy of 75.4%. The combination of two parameters, white blood cell count and C-reactive protein, can be applied to early identify Kawasaki patients at high or low risk of CAA.
1983年4月至1991年8月，70例川崎病患者入住台湾省立桃园总医院。急性期仅接受每日80 - 100mg/kg阿司匹林治疗的57例患者，接受二维超声心动图检查随访两周至两年。12例（21%）并发冠状动脉瘤（CAA）的患者被归为高危组。无CAA的患者为低危组。基于临床和早期实验室数据进行逐步判别分析以获得CAA的危险因素。这产生了75.4%的分类准确率。白细胞计数和C反应蛋白这两个参数的组合可用于早期识别CAA高危或低危的川崎病患者。
