彩色多普勒对川崎病冠脉瘤和冠状动脉瘘的诊断与鉴别诊断  

Diagnosis and Differential Diagnosis of Coronary Artery Aneurysm in Kawasaki Disease and Congenital Coronary Artery Fistula by Color Doppler Echocardiography

作　　者：刘保民[1] 赵晓兰[1] 裘佩春[1] 段学蕴[1] 

机构地区：[1]西安医科大学第二附属医院超声研究室,710004

出　　处：《中国超声医学杂志》1997年第8期30-32,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：本文对17例川崎病（KD）所致冠脉瘤和10例冠状动脉瘘（CAF）的超声心动图特点进行分析。认为二者在声像图上的表现均为冠状动脉扩张增宽，极易误诊，但以下几点可供鉴别：1.CAF多见于RCA呈柱状扩张而KD致冠脉瘤好发于LCA呈球囊状扩张;2.CAF显示范围较长而冠脉瘤则较局限;3.CAF可显示心腔内漏口并检出异常彩色血流和湍流频谱而冠脉瘤无此改变;4.若听到心前区杂音及检出非对称性心脏扩大则CAF可能性大。最后指出二者在临床上可并存，此时应注意防止漏诊。This article analized the characters of 17 coronary artery aneurysms (AN) of Kawasaki disease(KD) and 10 congenital coronary artery fistulas (CAF). Both showed coronary artery dilatation, easily to be confused. The following points could be considered for differential diagnosis: 1. CAF mainly occurred in RCA and showed column-shaped, while AN of KD mainly oceurred in LCA and showed ellipsoid-shaped. 2. CAF usually appeared longer than AN of KD on 2-DE views. 3. There were abnormal color flow and swift spectrum in the heart chamber in CAF, but not in AN of KD. 4. It may be helpful to diagnose CAF from the heart murmur heared and the unsymmetry heart chamber enlargement. This two diseases could exist simultaneously. false diagnosis should be avoided.

关 键 词：彩色多普勒超声 川崎病 冠状动脉瘘 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]