目的 探讨川崎病合并胰腺炎和低T 3综合征的临床表现、诊断及治疗。方法 回顾分析1例川崎病合并胰 腺炎和低T 3综合征患儿的临床资料，并结合相关文献进行总结。结果 4岁女性患儿，入院时有川崎病及胰腺炎表现，并 出现川崎病休克综合征、低T 3综合征及丙种球蛋白抵抗；经2次丙种球蛋白、激素治疗后热退，但腹痛反复，给予禁食、 禁水，抑制胰酶分泌，置入鼻空肠营养管等治疗，患儿好转出院。出院后半年随访，患儿预后良好。结论 川崎病并发胰腺 炎和低T 3综合征提示病情危重，需要早期识别、干预并随访超声心动图及甲状腺功能。

Objective To investigate the clinical manifestations, diagnosis and treatment of Kawasaki disease complicated with pancreatitis and low T3 syndrome. Methods The clinical data of Kawasaki disease complicated with pancreatitis and low T3 syndrome in one child were retrospectively analyzed, and the relevant literature was reviewed. Results A 4-year-old girl presented with Kawasaki disease and pancreatitis was treated at our facility. During her stay, she developed Kawasaki disease shock syndrome, low T3 syndrome, and gamma globulin resistance. After two times of gamma globulin and hormone therapy, she had no fever, but she still constantly complained abdominal pain. Through the treatment of fasting, water prohibition, suppression of pancreatic enzyme secretion, and gastrointestinal nutrition by nose jejunum tube implantation, the child was recovered and discharged. The prognosis of the child was good after six months’ follow-up. Conclusion Kawasaki disease complicated with pancreatitis and low T3 syndrome suggests a critical condition requiring early identification, intervention and follow-up of echocardiography and thyroid function.