| 颜莹,蒙智森,杨京华,等.川崎病休克综合征伴多种心血管并发症及多系统功能损伤 1例[J].安徽医药,2022,26(10):1944-1949. |
| 川崎病休克综合征伴多种心血管并发症及多系统功能损伤 1例 |
| Kawasaki disease shock syndrome with multiple cardiovascular complications and multiple system dysfunction: a case report |
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| DOI：10.3969/j.issn.1009-6469.2022.10.009 |
| 中文关键词: 川崎病 休克，脓毒性 冠状动脉瘤 心脏损害 |
| 英文关键词: Kawasaki disease Shock,septic Coronary artery aneurysm Heart damage |
| 基金项目:全国名老中医药专家传承工作室建设项目( 14GG2X02) |
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| 摘要点击次数: 818 |
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| 中文摘要: |
| 目的提高对川崎病休克综合征( KDSS)的早期识别及对川崎病心脏损害多样性的认识，并加强个体化管理。方法报道 1例川崎病病儿伴 KDSS、心肌炎、瓣膜病变、急性心力衰竭、心律失常、冠状动脉瘤及高凝状态、肝功能不全、急性肾损伤等多系统功能损伤的病例，并以“川崎病休克综合征”(包括中英文)为关键词或主题词对 PubMed和中 |
| 英文摘要: |
| Objective To improve the early recognition of Kawasaki Disease Shock Syndrome (KDSS) and the understanding of thediversity of heart damage in Kawasaki Disease, and to strengthen individualized management.Methods A case of Kawasaki disease with KDSS, myocarditis, valvular disease, acute heart failure, arrhythmia, coronary aneurysm, and multiple system dysfunction (such ashypercoagulable state, liver insufficiency, acute kidney injury) was reported. "Kawasaki disease", "Kawasaki disease shock syndrome","coronary artery aneurysm " (including Chinese and English) were used as keywords or subject terms to search PubMed and CNKI, asof December 2020, the retrieved patient data were collected and analyzed.Results This case of Kawasaki disease had KDSS at the on. set of the disease, and was accompanied by multiple systemic dysfunctions. The condition was critical and the clinical management wascontradictory. After treatment, the life of the child was stable, but a medium-sized coronary aneurysm appeared in the subacute stage. Atotal of 8 relevant case reports were collected from the searched literature, and it was found that reports of KDSS gradually increased inrecent years. However, it was still relatively rare to have multiple cardiovascular complications and multiple system functional impair.ments at the same time.Conclusion In addition to the well-known typical complications of coronary artery disease, Kawasaki diseasecan also be complicated by a variety of heart damages during the development of the disease. In particular, it is necessary to strengthenthe early identification, diagnosis and treatment of KDSS with hemodynamic instability. |
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