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川崎病临床特征与猝死--附2例报告并文献复习
引用本文:朱方成,郑光美,刘良.川崎病临床特征与猝死--附2例报告并文献复习[J].罕少疾病杂志,2005,12(2):15-17.
作者姓名:朱方成  郑光美  刘良
作者单位:郧阳医学院法医学教研室,湖北,十堰,442000;华中科技大学同济医学院附属同济医院超声影像科;华中科技大学同济医学院法医学系
摘    要:目的探讨川崎病的临床特征与猝死机制。方法收集2例经法医病理学尸检证实的川崎病猝死的病例资料,回顾分析其临床特征与猝死机制。结栗此2例惠儿,1男1女,年龄分别为1岁和3岁,均因其它不适在输液过程中突然死亡,之前2周有发热,皮肤红斑,尸检证实2例猝死患者均并发冠状动脉瘤,瘤腔内血栓形成。结论川崎病临床特征不典型,早期诊治是防治因并发冠状动脉瘤而猝死的关键。

关 键 词:法医病理学  川崎病  冠状动脉瘤  猝死
文章编号:1009-3257(2005)02-0015-03
修稿时间:2004年12月28

Kawasaki disease: two cases report and review of literature
ZHU Fang-cheng,ZHENG Guang-mei,LIU Liang.Kawasaki disease: two cases report and review of literature[J].Journal of Rare and Uncommon Diseases,2005,12(2):15-17.
Authors:ZHU Fang-cheng  ZHENG Guang-mei  LIU Liang
Institution:ZHU Fang-cheng,ZHENG Guang-mei,LIU Liang. Department of Forensic Medicine,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
Abstract:Objective To explore the clinical features and sudden death mechanism of Kawasaki disease. Methods The clinical data of 2 patients with Kawasaki disease were analyzed retrospectively, which were confirmed by forensic pathological autopsy. Results The clinical features of Kawasaki disease was atypical. Both 2 patients were companied with coronary aneurysms and thrombosis in coronary artery. Conclusion Kawasaki disease is rare in clinic. The early diagnosis and treatment are the key to prevent and cure coronary aneurysm, which may lead to sudden death.
Keywords:forensic pathology  Kawasaki disease(KD)  coronary aneurysm  sudden death
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