川崎病相关的急性腹部:大多数不需要手术
Xiang She1, Jia Chen1, Yu-Neng Zhou1
1Department of Pediatrics, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, 621000, People's Republic of China.
Journal of inflammation research
|November 29, 2023
概括
川崎病相关的急性腹部 (KD-AA) 在发烧的儿童中呈现出腹部症状. 早期诊断和治疗KD-AA导致良好的预后,避免不必要的手术.
科学领域:
- 儿科 儿科 儿科
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
背景情况:
- 川崎病 (KD) 是一种严重的儿科疾病.
- 急性腹部 (AA) 是一种罕见但严重的KD并发症.
- 了解KD-AA的临床特征对于及时干预至关重要.
研究的目的:
- 确定与川崎病相关的急性腹部 (KD-AA) 患者的临床特征.
- 审查KD-AA的治疗策略和结果.
- 为了确定KD-AA和单独KD之间的关键差异.
主要方法:
- 追溯的病例控制研究.
- 从2006年1月到2022年11月,包括33名患有KD-AA的患者.
- 在KD-AA和KD组之间的临床,实验室和结果数据的比较.
主要成果:
- KD-AA患者年龄较大,炎症标志物 (中性粒细胞率,CRP,前素,ALT) 高,血红蛋白,白蛋白和水平较低.
- KD-AA与更高的无菌性脑膜炎和KD冲击综合征率有关.
- 在IVIG抗性,不完整的KD或冠状动脉异常方面没有观察到显著差异.
结论:
- 应该怀疑KD-AA在发烧的孩子腹部疼痛.
- 及时诊断和治疗KD-AA对于预防手术并发症至关重要.
- 患有KD-AA的患者在适当的管理下表现出良好的预后.
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