川崎病休克综合征超声心动图特征分析  

Analysis of the Echocardiographic Features in Patients with Kawasaki Disease Shock Syndrome

作　　者：李思 刘刚 张彤如[1] LI Si;LIU Gang;ZHANG Tongru(Department of Children's Cardiothoracic Center,Chenzhou No.1 People’s Hospital,Chenzhou 423000,Hunan,P.R.China;Department of Ultrasound,Chenzhou No.1 People’s Hospital,Chenzhou 423000,Hunan,P.R.China)

机构地区：[1]郴州市第一人民医院儿童心胸血管中心,湖南郴州423000 [2]郴州市第一人民医院超声科,湖南郴州423000

出　　处：《影像科学与光化学》2023年第6期296-299,共4页Imaging Science and Photochemistry

基　　金：郴州市科学技术局科技发展计划项目(ZDYF2020096)。

摘　　要：本研究通过回顾性分析川崎病休克综合征(KDSS)患儿急性期的超声心动图表现,以提升对KDSS心血管并发症的认识。选取诊断为KDSS的患儿20例及同期诊断为血流动力学稳定的川崎病(KD)患儿41例作为研究对象,比较其急性期超声心动图特征。KDSS组年龄、性别与对照组比较差异无统计学意义;超声心动图表现急性期冠状动脉扩张、二尖瓣返流发生率较对照组显著增加,差异有统计学意义(P<0.05)。KDSS更易引发心血管系统并发症,需更密切的超声心动图监测;二尖瓣返流为KDSS急性期特征性表现。This study aims to improve the understanding of cardiovascular complications of KDSS by retrospectively analyzing the echocardiographic manifestations of children with Kawasaki disease shock syndrome(KDSS)in the acute phase.A total of 20 children diagnosed as KDSS and 41 children diagnosed as hemodynamically stable Kawasaki disease(KD)were collected as study subjects to compare their echocardiographic characteristics in the acute phase.There were no statistically significant differences in age and sex between the KDSS group and the control group;the incidence of coronary artery dilatation and mitral regurgitation in the acute phase of echocardiographic manifestation was significantly higher than that of the control group,and the differences were statistically significant(P<0.05).KDSS is more likely to cause cardiovascular system complications and requires closer echocardiographic monitoring;mitral regurgitation is a characteristic manifestation of KDSS in the acute phase.

关 键 词：川崎病 休克 超声心动图 特征 

分 类 号：R540.45[医药卫生—心血管疾病] R725.4[医药卫生—内科学]