摘要
目的探讨多普勒超声心动图在川崎病诊断及随访中的改变及临床意义。方法回顾性分析118例确诊的川崎病患儿的多普勒超声心动图表现。结果在受检的118例川崎病患儿中有心血管损害68例,其中冠状动脉病变共38例,左冠状动脉比右冠状动脉更易发生扩张性病变。冠状动脉累及左主干近端多见。未见单独累及右冠状动脉主干者。左冠状动脉瘤8例,巨大冠状动脉瘤1例;心脏扩大2例。心包积液12例,二尖瓣及三尖瓣反流者30例。结论多普勒超声心动图对于早期诊断川崎病,发现心血管损害,及时治疗,减少并发症的发生以及随访都有重大意义。
Objective To explore the changes of color Doppler and it＇ s clinical significance in diagnosis of Kawasaki disease. Methods Color Doppler echocardiography feature of 118 patients with Kawasald disease were analysed retrospectively. Results There were 68 patients with cardiovascular lesion in 118 patients with Kawasaki disease. There 38 patients were with coronary dilatation and 8 patients had coronary aneurysm. The lesion of LCA were more common than RCA. The heart of 2 patients were dilated and pericarditis and valve regurgition were obsreved in 12 and 30 of them. Condusion Color Doppler echocardiography is of great values in finding the cardiovascular lesion of Kawasaki disease at early stage and it plays an important role in alleviating severity of coronary artery injury if treated early. Long - term follow up of patients with coronary artery lesions in necessary.
出处
《中国热带医学》
CAS
2007年第8期1402-1403,共2页
China Tropical Medicine
关键词
彩色多普勒超声
川崎病
心血管损害
Color Doppler echocardiography
Kawasaki disease
Cardiovascular lesion
