心脏骤停表现的Kounis综合征1例  

A case of Kounis syndrome characterized by cardiac arrest

作　　者：李宏亮 陈琳[1] 陈明强 梁峰[2] 邹建峰[1] Li Hongliang;Chen Lin;Chen Mingqiang;Liang feng;Zou Jianfeng(Cardiology Department,People's Hospital of Rizhao,Shandong Rizhao 276800,China;Emergency Department,People's Hospital of Rizhao,Shandong Rizhao 276800,China)

机构地区：[1]山东省日照市人民医院心内科,日照276800 [2]山东省日照市人民医院急诊科,日照276800

出　　处：《中国综合临床》2023年第2期144-146,共3页Clinical Medicine of China

摘　　要：Kounis综合征为在过敏性损伤的情况下并发与肥大细胞和血小板活化相关的急性冠状动脉综合征。本资料报道的Kounis综合征Ⅱ型患者伴有心肌梗死和心脏骤停,较为罕见。患者因马蜂蜇伤于2020年9月21日就诊于日照市人民医院,就诊过程中发生心脏骤停,经心肺复苏、抗过敏、抗栓、冠状动脉血运重建治疗后病情好转。出院后接受门诊定期随访。1个月后及1年后随访患者无胸痛胸闷不适及过敏反应。Kounis syndrome is an acute coronary syndrome associated with mast cell and platelet activation in the case of allergy or allergic injury.This case of Kounis syndrome typeⅡpatients with myocardial infarction and cardiac arrest is rare.The patient came to the clinic because of wasp sting.During the treatment,he had cardiac arrest.After cardiopulmonary resuscitation,anti allergy,antithrombotic and coronary revascularization,his condition improved.After discharge,he was followed up regularly.After 1 month and 1 year follow-up,the patient had no chest pain,chest tightness,discomfort and allergic reaction.

关 键 词：心脏骤停 过敏反应 Kounis综合征 心肌梗死 冠状动脉血运重建 

分 类 号：R541.78[医药卫生—心血管疾病]