儿童大动脉炎心脏受损的超声心动图特点分析  

Echocardiographic features of heart damage in children with Takayasu arteritis

作　　者：喻晓娜[1] 王欣[1] 杨宝莹 任卫东[1] 范禹彤 YU Xiao-na;WANG Xin;YANG Bao-ying;REN Wei-dong;FAN Yu-tong(Department of Ultrasound,Shengjing Hospital of China Medical University,Shenyang 110004,China;Department of Ultrasound,the People's Hospital of Zhangnou,Fuxin Liaoning 123200,China)

机构地区：[1]中国医科大学附属盛京医院超声科,辽宁沈阳110004 [2]辽宁省阜新市彰武县人民医院超声科,辽宁阜新123200

出　　处：《中国临床医学影像杂志》2020年第3期188-191,共4页Journal of China Clinic Medical Imaging

摘　　要：目的:探讨儿童大动脉炎心脏受损的超声心动图特点。方法:收集我院确诊的原发性儿童大动脉炎17例,回顾分析其超声心动图特征。结果:17例患儿中8例(47.06%)表现为高血压性心脏改变;2例(11.76%)以扩张性心肌病为主要心脏改变,其中1例还合并左室心肌致密化不全;5例(29.41%)庄要表现为冠状动脉改变;1例(5.88%)表现为单纯主动脉弓起始段扩张;1例(5.88%)表现为单纯主动脉瓣轻度反流;所有17例患儿中,共5例有不同程度的主动脉瓣反流,4例存在轻度二尖瓣反流。结论:大动脉炎患儿可合并多种心脏改变,超声表现以高血压心脏病改变为主,应注意和相关疾病鉴别。Objective:To investigate the echocardiographie features of cardiae damage in children with primary Takayasu arteritis.Methods:Seventeen children with Takayasu arteritis diagnosed in our hospital were enrolled.The echocardiographic features were retrospectively analyzed.Results:Of the 17 patients,8 patients(47.06%)had hypertensive heart changes;2 pa-tients(11.76%)had dilated cardiomyopathy as the main cardiac change,including 1 case of non-compaction of ventricular my-ocardium;5 patients(29.41%)showed coronary artery changes;1 patient(5.88%)showed simple aortic arch dilatation;1 patient(5.88%)showed simple aortic valve regurgitation;in all 17 patients,5 patients had varying degrees of aortic regurgitation,and 4 patients had mild mitral regurgitation.Conclusion:Children with Takayasu arteritis may be combined with a variety of car-diac changes,and the ultrasound manifestations are mainly hypertensive heart disease changes.Utrasound physicians should pay attention to distinguishing from related diseases.

关 键 词：TAKAYASU动脉炎 超声心动描记术 

分 类 号：R543.1[医药卫生—心血管疾病]