儿科药学杂志2025，Vol.31Issue(4)：29-33,5.DOI:10.13407/j.cnki.jpp.1672-108X.2025.04.007
1例以发热、腹痛、黄疸为首发症状的川崎病报道并文献复习
Kawasaki Disease with Fever,Abdominal Pain and Jaundice as the First Symptom:a Case Report and Literature Review
摘要
Abstract
A 7-year-old boy was admitted into the hospital with chief complaints of"fever,abdominal pain,jaundice,and cough".After considering clinical manifestations and auxiliary examinations,the child was diagnosed with Kawasaki disease(KD),cholecystitis,abnormal liver function,and glucose-6-phosphate dehydrogenase(G6PD)deficiency.Patients were treated with high-dose intravenous immunoglobulin(IVIG),oral clopidogrel and other symptomatic supportive therapy.The prognosis was good at follow-up.This paper analyzes the clinical manifestations,pathogenesis,and treatment of KD combined with cholecystitis and liver function abnormalities to enhance clinical recognition and attention to children with suspected KD presenting with gastrointestinal symptoms,and raises considerations regarding the use of aspirin in children with KD and G6PD deficiency.关键词
川崎病/胆囊炎/肝功能异常/葡萄糖-6-磷酸脱氢酶缺乏症/阿司匹林/儿童Key words
Kawasaki disease/cholecystitis/abnormal liver function/glucose-6-phosphate dehydrogenase deficiency/aspirin/children分类
临床医学引用本文复制引用
黄宝仪,钟志珊,蔡雅雯,郭书宁,刘华,许华,李宏贵..1例以发热、腹痛、黄疸为首发症状的川崎病报道并文献复习[J].儿科药学杂志,2025,31(4):29-33,5.基金项目
国家中医优势专科建设项目(儿科),国中医药医政函[2024]90号 （儿科）
广东省名中医传承工作室建设项目,粤中医办函[2023]108号 （）
广州中医药大学教育科学研究基金-许华教学名师工作室,编号A1-2601-21. （）
