川崎病休克综合征合并心力衰竭1例临床病例分析及文献复习

目的 探讨川崎病休克综合征 (Kawasaki Disease Shock Syndrome，KDSS) 合并心力衰竭的临床特征。方法 分析 1例KDSS合并心力衰竭患儿的临床资料，并复习相关文献。结果 KDSS在川崎病中不常见，但表现严重，在急性期可以导致循环衰竭，表现为心动过速、毛细血管充盈时间延长、四肢末端发凉、脉搏细弱、尿量减少或意识障碍等而发生全身循环衰竭，早期识别，及时给予人免疫球蛋白和激素等综合治疗可明显改善患者休克的状况。结论 KDSS是川崎病中少见但较为严重的临床并发症，早期识别及综合的临床治疗方法是减少KDSS的有效措施。

Clinical analysis and literature review: a case of Kawasaki disease shock syndrome complicated with heart failure

Objective To investigate the clinical and pathological characteristics of KDSS with heart failure. Methods The clinical data of a child with KDSS complicated with heart failure were analyzed, and the related literature was reviewed. Results KDSS is uncommon in Kawasaki disease, and it always attended with serious performance, which can lead to circulatory failure in the acute stage. manifested as systemic circulatory failure with tachycardia, prolonged capillary filling time, chills at the end of limbs, weak pulse, reduced urine volume or disturbance of consciousness. Early identification and timely comprehensive treatment of human immunoglobulin and hormones can significantly improve the condition of shock. Conclusion KDSS is a rare but serious clinical manifestation of Kawasaki disease, and it is easy to be complicated with heart failure. Early identification and comprehensive clinical treatment are effective measures to reduce KDSS complicated with heart failure.