过敏导致心肌损伤一例

A case of myocardial injury caused by allergy

过敏反应的常见临床表现有荨麻疹、皮肤瘙痒、胸闷、腹痛、过敏性休克等.有文献报道,过敏可引发冠脉痉挛或者动脉粥样硬化斑块破裂,导致急性冠脉综合征,类似疾病被命名为Kounis综合征.在此报道1例严重过敏反应后发生心肌损伤的患儿,过敏发生时患儿心电图出现下壁导联的ST段压低,心肌酶升高,经抗过敏、营养心肌等治疗后好转出院.通过对该病例的讨论,希望同大家一起深入学习Kounis综合征.

Objective Urticaria, itchy skin, chest tightness, abdominal pain and anaphylactic shock are the common clinical manifestations of allergic reactions.In addition, the relevant literature indicates that allergies can cause coronary vasospasm or rupture of atherosclerotic plaque, leading to acute coronary syndrome, which is named Kounis syndrome.Here we report a case of a child admitted to the emergency departments with myocardial injury and ST depression on electrocardiography while a severe allergic reaction.The patient was discharged from the hospital after receiving anti-allergic and nutritional myocardial medication.I hope that we can learn more about Kounis syndrome through this case.