超声心动图探查川崎病冠状动脉病变  

Coronary arterial lesion in kawasaki disease detected by echocardiography

作　　者：黄向阳[1] 袁奇[1] 单凤仙[1] 杨冬妹[1] 王玉婷[1] 蒋玉霞[1] 李卫虹[1] 

机构地区：[1]安徽医科大学附属省立医院,安徽省立医院超声心动图室,合肥230001

出　　处：《中国临床保健杂志》2009年第5期455-456,F0003,共3页Chinese Journal of Clinical Healthcare

摘　　要：目的探讨超声心动图在诊断及随访川崎病冠状动脉病变中的作用。方法对157例川崎病患儿的冠状动脉进行超声检查,并对伴有冠状动脉损害者进行随访。结果川崎病患儿冠状动脉损害发生率为27.4%,以扩张为主。经随访发现多数能恢复正常。巨大型冠状动脉瘤组和冠状动脉瘤组确诊前发热天数及冠状动脉损害检出天数分别显著高于冠状动脉扩张组(均P<0.01)。结论超声心动图能动态观察冠状动脉的病变,是目前评价和随访川崎病患儿冠状动脉损害最具价值的手段。Objective To determine the role of echocardiography in diagnosing and following-up the coronary arterial lesion in Kawasaki disease （KD）. Methods 157 cases of KD children＇ s coronary arteries were detected by echocardiography. Among them,children who had coronary arterial lesions were followed-up. Results The incidence rate of coronary arterial lesions was 27.4% （43/157）. Most of the incidence was coronary arterial dilatation. The fol- lowed-up results revealed that most coronary arterial lesions recovered. The febrile days before diagnosis in the giant coronary aneurysm group and in the coronary aneurysm group were longer than that in coronary arterial dilatation group （P 〈 0.01 ）. Conclusion Echocardiography is capable of depicting dynamically the coronary arterial lesions, It can serve as the most valuable non-invasive means and follow-up for the diagnosis of KD with coronary arterial lesions.

关 键 词：粘膜皮肤淋巴结综合征/并发症 超声心动描记术 多普勒 彩色 冠状动脉疾病 

分 类 号：R445.1[医药卫生—影像医学与核医学] R725.4[医药卫生—诊断学]