- 期刊
Risk Factors of Coronary Arterial Aneurysm in Kawasaki Disease
川崎病冠狀動脈瘤之危險因子
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%。
關鍵字
無資料並列摘要
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.
延伸閱讀
- 潘秀鳳、謝佳珍、施淑珠、王俊傑（1991）。冠狀動脈疾病的危險因素與防治之道。長庚護理，2(2)，78-82。https://www.airitilibrary.com/Article/Detail?DocID=10267301-199112-2-2-78-82-a
- 郭和昌、劉又禎、梁啟迪、楊崑德（2011）。兒科十大棘手疾病之首－川崎症。臺灣醫界，54(2)，69-73。https://doi.org/10.30044/TMJ.201102.0002
- 郭和昌、梁啓迪、楊崑德（2009）。兒童後天性心臓病的元兇－川崎氏症的新進展。臺灣兒童過敏氣喘及免疫學會學會通訊，10(3)，14-17。https://doi.org/10.7025/HEJ.200909.0014
- 瘳鴻彬、吳玉村、朱夢麟（1991）。川崎病合併多種器官病變。Acta Paediatrica Sinica，32(s_1)，118-120。https://www.airitilibrary.com/Article/Detail?DocID=00016578-199101-32-s_1-118-120-a
- Yang, H. Y., Lin, G. J., Lee, C. Y., & Lue, H. C. (1985). 川崎病的臨床所見. Acta Paediatrica Sinica, 26(3), 213-222. https://www.airitilibrary.com/Article/Detail?DocID=00016578-198506-26-3-213-222-a