超声心动图探查川崎病冠状动脉病变259例

Echocardiograph detection of the coronary arterial arterial lesion in 259 children with Kawasaki disease

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作用。方法 超声心动图探查小儿川崎病２５９ 例，对其中９７ 例进行了随访。结果 发现冠状动脉病变４８ 例（１８．５％ ），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安全和准确的方法。

Abstract:

Objective To examine 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. 97 cases of them were followed-up.Results Among them 48 cases were found to have coronary arterial lesions(18.5%), 90% presented evidence of coronary arterial lesion in the first-three-week illness. The lesion of LCA occured more common than RCA. The followed-up result reveals an easier recovery of mild dilatation farmation. 2 cases of coronary arterial aneurysm remain persistent.The inside diameter of arterial aneurysm was an important agent of prognosis.Conclusions Echocardiography is the most useful noninvasive technique to detect coronary arterial lesion.