1例川崎病休克综合征的早期识别和治疗

Early Recognition and Treatment of Kawasaki Disease Shock Syndrome in 1 Case

目的:探讨川崎病休克综合征(KDSS)的早期识别及治疗。方法:回顾性分析我院1例KDSS患儿的临床表现、治疗过程。结果:患儿,男,5月1天,确诊为KD,病程第6天出现KDSS,给予抗休克、抗炎治疗,病程第13天出现消化道症状,给予补液、调理肠道菌群、保护肠粘膜等治疗后病情好转,医嘱出院。结论:对于KD患儿出现血流动力学不稳定现象,应立即考虑到KDSS,并给予积极治疗,减轻冠脉损害。

Objective: To investigate the early recognition and treatment of Kawasaki disease shock syndrome. Method: The clinical manifestations and treatment course of a child with Kawasaki disease shock syndrome were analyzed retrospectively. Result: The patient, male, was diagnosed as Kawasaki disease on five months and one day, and Kawasaki disease shock syndrome appeared on the 6th day of the course of disease. He was given anti-shock and anti-inflammatory treatment. On the 13th day of the course of disease, the child developed digestive tract symptoms, and was treated with fluid rehydration, intestinal flora conditioning, intestinal mucosa protection and other treatments, after which his condition improved. The doctor ordered his to be discharged. Conclusion: Kawasaki disease shock syndrome should be considered immediately and treated actively in children with KD with hemodynamic instability to alleviate coronary artery damage.