川崎病并发冠状动脉病变引发成年后不稳定性心绞痛1例报告并文献复习  

Unstable angina pectoris in adulthood resulted from Kawasaki disease complicated with coronary artery disease:a case report and literature review

作　　者：杨轶男[1] 闵丽 董湘玉[1] 牛少敏[1] 吴维霞 YANG Yinan;MIN Li;DONG Xiang Yu;NIU Shao Min;WU Weixia(Department of Pediatrics,Lanzhou University Second Hospital,Lanzhou 730030,Gansu,China)

机构地区：[1]兰州大学第二医院儿科,甘肃兰州730030

出　　处：《临床儿科杂志》2020年第7期493-496,共4页Journal of Clinical Pediatrics

基　　金：甘肃省自然科学基金(No.18JR3RA323)。

摘　　要：目的探讨川崎病(KD)所致冠状动脉疾病与成年后急性心血管事件的相关性。方法回顾分析1例18岁、有KD病史的冠心病患者的临床资料,同时检索相关文献并进行总结。结果女性患者,18岁,活动后胸痛、胸闷;心脏血管造影显示右冠状动脉主干1段局部壁增厚,管腔重度狭窄。患者于7岁时有明确的KD病史,并伴有冠状动脉瘤。结论儿童KD与成年后相关心血管疾病密切相关。Objective To explore the correlation between coronary artery disease caused by Kawasaki disease (KD) and acute cardiovascular events in adulthood.Methods The clinical data of an 18-year-old coronary heart disease patient with a history of KD was retrospective analyzed,and the relevant literature was retrieved and summarized.Results A female patient,18-year-old,suffered from chest pain and chest distress after exercise.Cardiac angiography revealed local wall thickening and severe lumen stenosis in the main right coronary artery.The patient had a clear history of KD at the age of 7 years,complicated with a coronary aneurysm.Conclusion KD in childhood is closely related to cardiovascular diseases in adulthood.

关 键 词：川崎病 冠状动脉病变 不稳定性心绞痛 

分 类 号：R725.4[医药卫生—儿科]