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題 名 | Prognosis of Coronary Arterial Lesions in Kawasaki Disease Treated without Intravenous Immunoglobulin=未接受靜脈免疫球蛋白川崎症病兒合併冠狀動脈病變之預後 |
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作 者 | 鄭光志; 吳美環; 王主科; 呂鴻基; 李慶雲; 簡淑卿; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 38:1 民86.01-02 |
頁 次 | 頁32-37+76 |
分類號 | 417.515 |
關鍵詞 | 川崎症; 冠狀動脈病變; Kawasaki disease; Coronary arterial lesion; Aspirin; IVIG; |
語 文 | 英文(English) |
英文摘要 | From 1981 to 1989, a total of 86 consecutive patients with definite Kawasaki disease who received aspirin but not intravenous immunoglobulin (IVIG) therapy during the acute stage were studied. Thirty-eight of them (44%) had coronary arterial lesion (CAL) on initial two-dimensional echocardiograms. Of them, 21 (56%) had ectatic coronary changes, 13 (34%) had small to large coronary aneurysms (diameter ≦ 8 mm) and 4 (10%), giant coronary aneurysms (diameter > 8 mm). Patients with CAL had, in the acute stage, a longer duration of fever (p<0.01), higher maximum platelet counts (p<0.05) and a higher one-hour erythrocyte sedimentation rate (<0.01) than those without. Males were associated with a higher incidence of aneurysmal dilatation of the CAL. By actuarial event-free analysis, more than half of the ectatic coronary lesions regressed within two months of onset, and 86% became normal on echocardiograms within a two-year follow-up period. Ectatic lesions had a significantly higher chance of regression than aneurysmal lesions (p<0.01). Furthermore, none of the giant aneurysms regressed (p<0.05, as compared with those coronary aneurysms smaller than 8 mm in diameter). It was concluded that coronary arterial lesions occurred in a substantial number of Chinese children with Kawasaki disease who received only aspirin therapy. Regression of the lesions was related to their size and morphology. |
本系統中英文摘要資訊取自各篇刊載內容。