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頁籤選單縮合
| 題 名 | Risk Factors of Coronary Arterial Aneurysm in Kawasaki Disease=川崎病冠狀動脈瘤之危險因子 |
|---|---|
| 作 者 | 呂清標; 李玫珍; 何美美; 黃焜璋; | 書刊名 | 中華民國小兒科醫學會雜誌 |
| 卷 期 | 34:3 民82.05-06 |
| 頁 次 | 頁173-180 |
| 分類號 | 417.515 |
| 關鍵詞 | 川崎病; 冠狀動脈瘤; |
| 語 文 | 英文(English) |
| 中文摘要 | 冠狀動脈瘤是川崎病最常見且嚴重之併發症,雙向超音波可用來檢查此症患者的冠狀動脈。民國72年4月至81年8月本院共有70例(男47,女23)診斷為川崎病的病童,其中57例病童在急性期僅接受阿斯匹林80-100毫克/公斤/天之治療,並且接受超音波追蹤檢查兩個月至兩年之久。十二例(21%)發現有冠狀動脈瘤形成,稱為高危險群,其餘四十五例則稱為低危險群。我們先以單變數統計方法來檢驗十六個臨床和實驗變數,發現在兩群中只有白血球和C-反應蛋白質具有統計上之顯著差異。進一步使用逐步區別分析後,發現此二變數結合所形成之區別函數可用來預測、區別病患歸屬於高危險群或低危險群。正確區別率為75%。 |
| 英文摘要 | 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. |
本系統中英文摘要資訊取自各篇刊載內容。