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全身型幼年特发性关节炎的部分患儿在病程中可并发巨噬细胞活化综合征,而巨噬细胞活化综合征会造成全身多器官损伤。通过阐述一例全身型幼年特发性关节炎并发巨噬细胞活化综合征病例的主要诊断选择及编码查找的过程,进而探讨疑难病例主要诊断的正确选择及编码的查找。本病例虽然巨噬细胞活化综合征只是全身型幼年特发性关节炎的一个并发症,但是全身型幼年特发性关节炎并不致死,而患儿发生巨噬细胞活化综合征的病情却十分危重,所以应选择巨噬细胞活化综合征为主要诊断,ICD-10编码D76.1,全身型幼年特发性关节炎为其他诊断,ICD-10编码M08.2。
Part of children with systemic juvenile idiopathic arthritis may have macrophage activation syndrome during their course of disease, whereas macrophage activation syndrome may cause systemic multiple organ damage. By explaining a case of systemic juvenile idiopathic arthritis complicated with macrophage activation syndrome, the main diagnosis options and coding search process, and then explore the diagnosis of difficult cases the correct choice and coding search. Although this case of macrophage activation syndrome is only a complication of systemic juvenile idiopathic arthritis, systemic juvenile idiopathic arthritis is not lethal, but the incidence of macrophage activation syndrome in children is very Therefore, macrophage activation syndrome should be the main diagnosis, ICD-10 encoding D76.1, systemic juvenile idiopathic arthritis for other diagnosis, ICD-10 encoding M08.2.