儿童多系统性炎症综合征 (MIS-C) 患有COVID-19和脏干扰:病例系列中的糟糕结果
Nora S Alghamdi1, Lujain Aletani2, Ibrahim Sandokji3
1Pediatric Department, Faculty of Medicine, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Clinical pediatrics
|August 10, 2024
概括
儿童多系统性炎症综合征 (Mis-C) 是一种严重的COVID-19并发症. 这项研究强调了其高死亡率以及儿童患者迅速识别和治疗的关键需求.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 传染性疾病 传染性疾病
- 儿科风湿病学 儿科风湿病学
背景情况:
- 2020年5月,儿童多系统性炎症综合征 (Mis-C) 作为SARS-CoV2感染的严重并发症出现.
- Mis-C具有多系统性参与,影响呼吸道和胃肠道系统,并且与儿科患者的显著发病率和死亡率有关.
研究的目的:
- 描述诊断出 Mis-C. 的儿童的临床表现,管理和结果.
- 为了强调 Mis-C 在儿科人口中的严重程度和潜在致命性.
主要方法:
- 六名儿科患者的回顾性病例系列,他们被录取到三级护理医院,患有 Mis-C.
- 审查了临床数据,包括症状,并发症,实验室发现 (酸化,急性损伤,电解质干扰),成像和治疗方法.
主要成果:
- 所有6名患者都出现了呼吸道和胃肠道症状.
- 6名患者中有5名 (83%) 在住院期间死亡.
- 患者表现出酸性,急性损伤,电解质障碍,凝血病,血小板减少和胸部X射线异常.
结论:
- 儿童多系统性炎症综合征是SARS-CoV2感染的罕见但严重的并发症.
- 迅速识别和管理多系统参与对于改善儿科 Mis-C 病例的结果至关重要.
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