摘要
目的探讨彩色多普勒超声心动图诊断川崎病冠状动脉病变及心功能变化的价值。方法彩色多酱勒超声心动图检查89例川崎病患儿，测量其冠状动脉内径，判断是否存在冠状动脉瘤、血栓和冠状动脉狭窄，测量房室内径，计算心功能，观察是否有心包积液和瓣膜返流。结果89例川崎病患儿中有冠状动脉病变36例，其中单纯左冠状动脉病变21例，双支病变12例，9例合并冠状动脉瘤，3例合并血栓。36例冠状动脉受累者均合并轻至中度二尖瓣及三尖瓣返流。川崎病患儿的左室收缩和舒张功能与彩色多普勒超声心动图检查结果正常者比较差异均无统计学意义（P〉0．05）。结论彩色多酱勒超声心动图可实时观察冠状动脉病变程度及其进展和转归，是检测川崎病冠状动脉病变及心功能变化的有效手段。
Objective To discuss the diagnosis of coronary arterial lesion and cardiac function in Kawasaki disease （KD） by color Doppler echocardiography. Methods Eighty-nine cases with KD were examined by color Doppler echocardiography. The coronary arterial diameter was measured and observed to find ff there was coronary aneurysm,thrombus and stenosis present. The dimensions of the arteries and the ventricles were measured. The cardiac function was Calculated and pericardial effusion and valvular regm-gitation was observed. Results There were 36 patients with coronary arterial lesions in total 89 patients with KD. Twenty-one patients had arterial lesions in single left main coronary artery and 12 patients had arterial lesions in two coronary arteries. Nine patients had coronary aneurysms, and 3 patients thrombu. Thirty-six patients with coronary arterial lesions had slight or moderate mitral and tricuspid regurgitation. Left ventricular systolic and diastolic function showed no significant difference compared with normal subjects （P 〉 0.05）. Conclusion As an effective method to diagnose coronary arterial lesions in KD, color Doppler echoeardiography is able to observe the progress and recovery of coronary arterial lesions.
出处
《中国医师进修杂志（内科版）》
2007年第11期18-19,23,共3页
Chinese Journal of Postgraduates of Medicine
关键词
彩色多普勒超声心动图
川崎病
冠状动脉病变
左室功能
Color Doppler echocardiography
Kawasaki disease
Coronary arteral lesion
Left ventricular function
