Kounis综合征的诊治研究进展
Research Progress in Diagnosis and Treatment of Kounis Syndrome
DOI: 10.12677/ACM.2022.12121710, PDF,   
作者: 梁林园, 熊 珂, 乔斌杰:西安医学院,陕西 西安;陕西省人民医院心血管内二科,陕西 西安;寿锡凌*:陕西省人民医院心血管内二科,陕西 西安
关键词: Kounis综合征过敏反应急性冠脉综合征Kounis Syndrome Allergic Reaction Acute Coronary Syndrome
摘要: Kounis综合征(Kounis Syndrome, KS)是一种基于过敏反应的急性冠状动脉综合征(Acute Coronary Syndrome, ACS),目前可分为三种类型:血管痉挛性过敏性心绞痛(I型)、过敏性心肌梗死(II型)和支架血栓形成(III型)。KS发病率并不低,尤其是在急诊抢救室,但由于其缺乏特征的临床表现及体征,以及医生对其鲜少了解,在临床上较难与其他急症鉴别,目前尚无标准诊疗方案,主要依靠心血管和过敏性临床症状和体征,以及实验室、心电图、超声心动图和血管造影证据。本文就KS的诊断与治疗研究进展综述如下。
Abstract: Kounis syndrome (KS) is an acute coronary syndrome (ACS) based on allergic reaction. At present, it can be divided into three types: vasospasm allergic angina (type I), allergic myocardial infarction (type II) and stent thrombosis (type III). The incidence rate of KS is not low, especially in the emer-gency room. However, due to its lack of characteristic clinical manifestations and signs, and doctors’ little understanding of it, it is difficult to differentiate KS from other emergencies clinically. At pre-sent, there is no standard diagnosis and treatment plan, which mainly depends on cardiovascular and allergic clinical symptoms and signs, as well as laboratory, electrocardiogram, echocardiog-raphy and angiographic evidence. This article reviews the progress in diagnosis and treatment of KS.
文章引用:梁林园, 熊珂, 乔斌杰, 寿锡凌. Kounis综合征的诊治研究进展[J]. 临床医学进展, 2022, 12(12): 11873-11878. https://doi.org/10.12677/ACM.2022.12121710

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