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：林其珊[1] 王爱军 孙斌[1] 陈伟达[1] 

机构地区：[1]上海医科大学附属儿科医院,上海200032 [2]青岛市儿童医院

出　　处：《中国全科医学》2000年第6期443-444,共2页Chinese General Practice

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　利用超声心动图探查小儿川崎病 2 5 9例 ,对其中 97例进行了随访。结果　 2 5 9例中发现冠状动脉病变 48例 (18 5 % ) ,男∶女 =2∶1,小于 1岁年龄组占 36 %。 90 %是在病程 3周内出现 ,左冠状动脉比右冠状动脉更易发生扩张性病变。随访结果表明 ,轻度扩张性病变较易恢复正常。 2例冠状动脉瘤持续存在 ,动脉瘤内径大小是影响预后的主要因素。结论　超声心动图是诊断川崎病并发冠状动脉病变最安全和最准确的方法之一 ,但远端病变尚需接受冠状动脉造影进一步检查。Objective To determine the role of echocardiography in diagnosing and following-up the coronary arterial lesion in Kawasaki disease.Methods 259 cases of kawasaki disease were detected by echocardiography.Among them,97 cases were followed up.Results Among them,48 cases were found to have coronary arterial lesions(18 5%),Male:female=2∶1 36% were less than 1 year.90% presented evidence of coronary arterial lesion within first 3 weeks of illness.The lesion of LCA were more common than RCA.The followed-up results revealed that mild dilatation formation were recovered.2 cases of coronary arterial aneurysm persistent.The diameter and size of arterial aneurysm were the important agents of prognosis.Conclusion Echocardiography is the most useful noninvasive technique to detect coronary arterial lesion,and the distal lesion should be further examined by angiocardiography.

关 键 词：超声心动描记术 川崎病 冠状动脉病变 诊断 

分 类 号：R725.970.6[医药卫生—儿科] R543.304[医药卫生—临床医学]