中西医结合治疗小儿川崎病48例临床观察.docVIP

中西医结合治疗小儿川崎病48例临床观察 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：中西医结合治疗小儿川崎病48例临床观察 1 1 资料与方法 2 2 结果 4 3 讨论 5 文2：体外震波碎石术后并发症中西医结合治疗48例临床观察 6 1 临床资料 6 2 治疗方法 7 3 疗效观察 8 4 讨论 8 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 10 正文 中西医结合治疗小儿川崎病48例临床观察 文1：中西医结合治疗小儿川崎病48例临床观察 【ABSTRACT】 Objective: To investigate the therapeutic methods on reducing the occurrence of pathological changes in coronary artery that is caused by Kawasaki :We used Qingrejiedu Decoction for activating blood circulation and Western medicine to treat Kawasaki disease on 48 we observed the disappearing time of the clinical manifestation and the occurrence rate of pathological changes in coronary : The patients in the group that was treated with both Qingrejiedu Decoction for activating blood circulation and Western medicine got pathological change occurrence rate %, and meanwhile the patients in the other group that was treated only with Western medicine got occurrence rate %, so there was a obvious difference（ P）in the occurrence rates,but the disappearing time of the clinical manifestation for two groups didnt have such obvious difference. Conclusion: Qingrejiedu Decoction for activating blood circulation has obvious therapeutic and preventative function in reducing the occurrence of pathological changes in coronary artery that is caused by Kawasaki disease. 【KEY WORDS】 Kawasaki disease; Coronary artery; Qingrejiedu decoction for activating blood circulation; Combined traditional chinese and western medicine treatment 川崎病（kawasaki disease, KD）又名皮肤粘膜淋巴结综合征，是一种原因不明确的小儿常见自身免疫性血管炎综合征[1]。主要病理改变为全身非特异性血管炎，累及中小血管，特别是冠状动脉，可形成冠状动脉瘤，引起血栓性梗塞、狭窄，导致心肌梗塞、猝死[2]。防止其冠状动脉病变的发生是川崎病预后的关键，我们从～月用清热解毒活血法结合西医治疗小儿川崎病，经临床观察，效果良好，报告如下。 1 资料与方法 一般资料 根据第三届国际川崎病会议修订的诊断标准（1988年12月修订），我院儿科从～月收治KD患儿92例，男54例，女38例，男：女比例∶1；年龄最小的6个月，最大的9岁，其中5岁以内68例（.%），2岁以内48例（%）；分别在发病2～12d住院。 临床表现 主要表现为发热、皮疹、粘膜充血、手足硬性水肿、脱皮、淋巴结肿大、肛周潮红脱皮。92例均有发热，入院时发热病程1～12d，平均发热6d，多为不规则热。总发热天数＜10d 39例，11～21d 29例，＞21d 24例。76例有球结膜充血，口唇潮红皲裂；58例有杨梅舌；63