川崎病合并心肌梗死临床治疗一例  

Treatment of a case of Kawasaki’s disease complicated with myocardial infarction

作　　者：李西慧[1] 肖锋[1] 李岩[1] 杜迎利[1] 宋乃庆[1] 张明礼[1] 

机构地区：[1]北京大学第一医院心外科,北京100034

出　　处：《北京大学学报（医学版）》2007年第4期381-384,共4页Journal of Peking University:Health Sciences

摘　　要：采用冠状动脉旁路移植术(coronary artery by-pass graft,CABG)及室壁瘤切除术治疗一例患心肌缺血、陈旧性心肌梗死、左心室巨大室壁瘤、心力衰竭的2.5岁川崎病患儿。术后患儿心排血量增加,心力衰竭症状消失,术后1个月时,心功能恢复到纽约心脏协会标准(NYHA)Ⅰ级。术后随访6年,心功能保持在Ⅰ级,生长发育正常。CABG是治疗幼儿川崎病心肌缺血的一种有效方法,但有一些特殊问题值得注意。Coronary artery by-pass graft （CABG） and ventricular aneurysmectomy were done for a 2.5 years old girl with Kawasaki＇ s disease complicated by myocardial ischemia and old myocardial infarction, left ventricular aneurysm formation and heart failure. Post-operatively, the cardiac out-put of the patient increased, the heart failure syndrome disappeared, and cardiac function improved to class Ⅰ （NYHA） one month later. In the 6-year follow-up, the patient kept her heart function at class Ⅰ , and had normal growth and development. Coronary artery by-pass graft is an effective therapeutic strategy for childhood myocardial ischemia, and attention should be paid to some special considerations.

关 键 词：黏膜皮肤淋巴结综合征 心肌梗死 冠状动脉分流术 

分 类 号：R551.2[医药卫生—血液循环系统疾病]