Abstract:

Kawasaki disease is an acute self-limited vasculitis. Timely and accurate diagnosis and treatment can significantly reduce the incidence of coronary artery dilatation or coronary artery aneurysm. However，there are difficulties in the diagnosis and treatment of Kawasaki disease for the time being. We need to make efforts to further improve the accuracy of diagnosis，early predict and identify the high risk population of refractory Kawasaki disease and coronary aneurysm，and optimize the initial treatment of stratified patients according to the coronary risk they are facing. We should constantly promote the experience of long-term follow-up management of Kawasaki disease so as to improve the level of diagnosis and treatment.

Key words: Kawasaki disease, diagnosis and treatment, child

摘要：

川崎病是一种急性自限性血管炎，及时准确的诊断与治疗可以明显降低川崎病冠状动脉扩张或冠状动脉瘤的发生率。然而，目前在川崎病的诊断和治疗方面仍存在困难。今后尚须进一步提高诊断标准的准确性，针对丙种球蛋白无反应型川崎病及冠状动脉瘤高危人群进行早期预测、识别与处理，进一步优化川崎病的初始治疗方案、丙种球蛋白无反应型的治疗方案以及冠状动脉瘤高危患者的治疗方案，不断推广川崎病伴冠状动脉病变患儿的长期随访管理经验，以期不断提高川崎病的诊疗水平。

关键词: 川崎病, 临床诊治, 儿童