冠状动脉超声显像研究川崎病冠状动脉瘤:十二年回顾分析  

Kawasaki Disease with Coronary Artery Aneurysm Detected by Ultrasonography: Twelve Years Experiences Analysis

作　　者：赵晓兰[1] 裘佩春[1] 刘保民[1] 段学蕴[1] 张秉亨[1] 董振雷[1] 席梅英[1] 

机构地区：[1]西安医科大学附属二院医用超声研究室,710004

出　　处：《中国超声医学杂志》1997年第7期53-55,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：1984年～1996年间应用冠状动脉超声显像研究川崎病502例，检出冠状动脉瘤（CAA）70例（13．9％），冠状动脉内径＞4mm（CA／AO＞0．30），呈校形扩张，51例（72．8％）1年好转。14例巨大CAA（BCAA）内径＞8mm（CA／AO＞0．60），回缩困难，经2～5年稍好转。7例并发冠状动脉血栓，2例并发心肌梗塞，4例并发腋动脉瘤，10例以心肌断层显像99mTC－MIBI对照研究，显示心肌灌注异常。1例CAA患儿因急性心肌梗塞死亡。冠状动脉超声显像用于诊断和随访川崎病冠状动脉瘤具有方便、迅速、直观、定位准确的优点，值得临床推广使用。Five hundred and two Kawasaki disease patients complicated with cardiovascular changes were examined by ultrasonography. Among them 70 cases suffered coronary artery aneurysm with its diameter over 4 mm. 51 cases improved in one year. 14 cases' diameter increased more than 8mm, but improved in 2-5 years. 7 cases complicated with thromhasis, 2 cases with myocardial infarction, 4 cases with axillary artery aneurysm and 10 cases explored by Technetium99mTC-MIBI, all showed abnormal myocardial perfusion imagings. 1 case died of acute myocardial infarction.

关 键 词：冠状动脉 超声显像 川崎病 冠状动脉瘤 

分 类 号：R543.304[医药卫生—心血管疾病] R540.45[医药卫生—内科学]