小儿川崎病冠状动脉病变及心功能变化观察  

Coronary arterial lesions and cardiac function change in Kawasaki disease

作　　者：周与群 朱红军[2] 

机构地区：[1]安徽省枞阳县人民医院,安徽枞阳246701 [2]安徽医科大学第一附属医院心内科彩超室

出　　处：《心血管康复医学杂志》2005年第4期315-317,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探索川崎病患儿冠状动脉损伤情况及其心功能变化。方法:用二维超声心动图检查72例川崎病患儿冠状动脉病变情况:用Cuben's 法检测患儿左室收缩功能;用经二尖瓣多普勒血流图检测患儿左室舒张功能。结果:72 例患儿中,检出26例有冠状动脉病变,其中急性或亚急性期单纯冠状动脉扩张21例。川崎病患儿的左室收缩和舒张功能与正常对照组相比无显著性差异(P>0. 05) 。结论:川崎病有较高的冠状动脉损伤发生率,尤其是在急性期;超声心动图是检测川崎病冠状动脉病变的有效手段。Objective ： To detect coronary arterial lesions and cardiac function change in 72 cases with Kawasaki disease（KD）. Methods：Coronary arterial damage was observed and measured using 2-DE; Left ventricular systolic function was detected by Cuben＇s, method, left ventricular diastolic function was detect by transmitral valve blood flow spectrum. Results： （1） Twenty-six cases of 72 KD patients had coronary arterial lesions, including 21cases of coronary arterial dilatation during acute or subacute period, 2 cases of coronary arterial aneurysm during acute period, 3 cases of coronary arterial dilatation during recovery period; （2）Left ventricular systolic and diastolic function had no significant difference compared with normal subjects （P〉0. 05）. Conclusion： The incidence of coronary arterial lesions is fairly high in Kawasaki disease patients, especially during its acute period. Ultrasonography is an effective method to diagnose coronary arterial lesion in Kawasaki disease.

关 键 词：粘膜皮肤淋巴结综合征(川崎病) 超声心动图 冠状动脉疾病 心室功能 左 

分 类 号：R541.409[医药卫生—心血管疾病]