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川崎病休克综合征伴巨噬细胞活化综合征1例
A Case of Kawasaki Disease Shock Syndrome with Macrophage Activation Syndrome

DOI: 10.12677/ACM.2023.133577, PP. 4021-4024

Keywords: 川崎病休克综合征,巨噬细胞活化综合征,脓毒性休克
Kawasaki Disease Shock Syndrome
, Macrophage Activation Syndrome, Septic Shock

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Abstract:

川崎病在儿童中较常见,是儿童时期后天性心脏病最常见的原因,川崎病休克综合征则较少见,抢救难度大,我科近期收治一例川崎病休克综合征,该患儿不仅合并多系统功能损害还有巨噬细胞活化综合征,病初明确诊断较困难,经过积极完善相关检查后明确诊断,并且从入院即予积极抢救治疗,故治疗疗效较好,患儿住院治疗15天后治愈出院。出院后随访无特殊,正常上学与生活。
Kawasaki disease is the most common cause of acquired heart disease in childhood. Kawasaki dis-ease shock syndrome is less common and difficult to rescue. Recently, a case of Kawasaki disease shock syndrome was admitted to our department. The child was not only complicated with multiple system dysfunction, but also macrophage activation syndrome. It was difficult to make a dear diag-nosis at the beginning. After actively improving the relevant examinations, the diagnosis was made and the patient was actively rescued from admission, the treatment effect was good. The child was cured and discharged after 15 days of hospitalization. Follow-up after discharge showed no special with normal school and life.

References

[1]  Minoia, F., Davì, S., Horne, A., et al. (2014) Clinical Features, Treatment, and Outcome of Macrophage Activation Syn-drome Complicating Systemic Juvenile Idiopathic Arthritis: A Multinational, Multicenter Study of 362 Patients. Arthritis & Rheumatology, 66, 3160-3169.
https://doi.org/10.1002/art.38802
[2]  Minoia, F., Davì, S., Horne, A., et al. (2015) Dissecting the Heterogeneity of Macrophage Activation Syndrome Complicating Systemic Juvenile Idiopathic Arthritis. The Journal of Rheumatology, 42, 994-1001.
https://doi.org/10.3899/jrheum.141261
[3]  Chen, P.S., Chi, H., Huang, F.Y., et al. (2015) Clinical Manifestations of Kawasaki Disease Shock Syndrome: A Case-Control Study. Journal of Microbiology, Immunology and Infection, 48, 43-50.
https://doi.org/10.1016/j.jmii.2013.06.005
[4]  Zhang, M.M., Shi, L., Li, X.H., et al. (2017) Clinical Analysis of Kawasaki Disease Shock Syndrome. Chinese Medical Journal, 130, 2891-2892.
https://doi.org/10.4103/0366-6999.219151
[5]  Wardle, A.J., Connolly, G.M., Seager, M.J., et al. (2017) Cortico-steroids for the Treatment of Kawasaki Disease in Children. Cochrane Database of Systematic Reviews, No. 1, CD011188.
https://doi.org/10.1002/14651858.CD011188.pub2
[6]  Buyse, S., Teixeira, L., Galicier, L., et al. (2010) Critical Care Management of Patients with Hemophagocytic Lymphohistiocytosis. Intensive Care Medicine, 36, 1695-1702.
https://doi.org/10.1007/s00134-010-1936-z
[7]  Deane, S., Selmi, C., Teuber, S.S., et al. (2010) Macrophage Ac-tivation Syndrome in Autoimmune Disease. International Archives of Allergy and Immunology, 153, 109-120.
https://doi.org/10.1159/000312628
[8]  Ravelli, A., Magni-Manzoni, S., Pistorio, A., et al. (2005) Preliminary Diagnostic Guidelines for Macrophage Activation Ayndrome Complicating Systemic Juvenile Idiopathic Arthritis. The Journal of Pediatrics, 146, 598-604.
https://doi.org/10.1016/j.jpeds.2004.12.016
[9]  胡秀芬, 王宏伟, 施虹, 等. 川崎病并发巨噬细胞活化综合征二例及文献复习[J]. 中华儿科杂志, 2006, 44(11): 833-835.
[10]  Ohga, S., Ooshima, A., Fukushige, J., et al. (1995) Histiocytic Haemophagocytosis in a Patient with Kawasadi Disease: Change in the Hypercytic Syndrome. European Journal of Pediatrics, 154, 539-541.
https://doi.org/10.1007/BF02074830
[11]  Kaneko, K., Takahashi, K., Fujiwara, S., et al. (1998) Kawasadi Disease Followed by Hemophagocytic Syndrome. European Journal of Pediatrics, 157, 610-611.
https://doi.org/10.1007/s004310050893
[12]  Al-Eid, W., Al-Jefri, A. and Buhabri, S. (2000) Hemophagocytosis Complicating Kawasadi Disease. Pediatric Hematology and Oncology, 17, 323-329.
https://doi.org/10.1080/088800100276316

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