川崎病并发急腹症的再认识

Re-recognition of Kawasaki disease complicated with acute abdomen

川崎病(KD)是一种以全身血管性病变为主的急性发热性出疹性疾病,多发于婴幼儿,主要累及全身中小动脉,可并发冠状动脉病变、心肌炎、间质性肺炎、无菌性脑膜炎等。近年来KD并发急腹症,如胆囊炎、胰腺炎、肠梗阻等也受到重视,早期识别KD并发急腹症的表现,及时给予相应治疗,有助于改善KD致冠状动脉病变及并发急腹症的预后。

Kawasaki disease(KD)is an acute febrile eruption disease mainly caused by systemic vascular di-seases,often is diagnosed in infants and young children,and mainly involve small and medium arteries of the whole body.KD can be complicated by coronary artery disease,carditis,interstitial pneumonia,aseptic meningitis and so on.KD complicated with acute abdomen,such as cholecystitis,pancreatitis and intestinal obstruction,has also been paid attention to in recent years.Early identification of acute abdomen as a manifestation of KD complications and timely treatment can help improve the prognosis of coronary artery disease and acute abdomen caused by KD.