丙种球蛋白过敏的再发川崎病患儿1例  

Treatment of recurrent Kawasaki disease in A boy with gamma-globulin allergy

作　　者：宋俊峰[1] 黄先玫[1] 

机构地区：[1]杭州市第一人民医院儿科,浙江杭州310006

出　　处：《中国现代医生》2012年第21期130-131,共2页China Modern Doctor

摘　　要：川崎病是发达国家儿童获得性心脏病最常见的病因。在川崎病急性期,目前推荐治疗方案是单剂、2 g/kg丙种球蛋白加阿司匹林口服。而丙种球蛋白过敏患儿存在一个用药问题。本文描述1例丙种球蛋白过敏的再发川崎病患儿的成功治疗过程,对于面对类似患者的临床医生,预防性应用激素加缓慢滴注丙种球蛋白可作为一种解决临床用药难题的方法。Kawasaki disease is the most common cause of acquired heart disease in children in developed nations. The current recommended treatment for Kawasaki disease in the acute phase is a single dose of 2g/kg intravenous immunogloh- ulin infused with oral aspirin. It will be a problem to treat Kawasaki disease in patients with gamma-globulin allergy.In this report,we described a recurrent Kawasaki disease in a boy with gamma-globulin allergy and he was successfully treated with intravenous immunoglobulin infused slowly plus small doses of glucocorticoid. The way of premedication with glucocorticoid plus intravenous immunoglobulin infused slowly can be used as a method to solve the problem of clinical medicine when the clinician faces similar patients.

关 键 词：川崎病 儿童 丙种球蛋白 过敏 

分 类 号：R725.4[医药卫生—儿科]