儿童川崎病心脏损害的超声诊断与临床观察

Ultrasonic and Clinical Observations on Cardiac Lessions in kawasaki Disease

目的：探讨儿童川崎病心脏损害的超声特征与临床预后的关系。方法：用美国ATL超9型彩色多普勒超声诊断仪对14例符合川崎病临床诊断标准的儿童患者进行心脏超声检测。结果：14例病地均有左或右冠状动脉近远支的病变，11例有心室心肌运动异常；8例出现心肌壁纤维化及室壁瘤；3例乳头肌功能不全。结论：川崎病的心脏损害以冠状动脉损害为主。提示超声心动图检查对本病的发病过程及预后分析有帮助。

Objective: To explore the relationship between the ultrasonic features of Caldiac lessionsand the clinical prognosis in kawasaki disease. Methods: 14 child cases of kawasaki diseasewhich were diagnosed according to the standards adritted commouly were examined withcolor ampler ultrasonic diagnostic apparatus (ATL model, made in U. S. A). Results: All Ofthe cases were with pathologic changes in the near and far branches of left of right coronaryarteries, 11 of them with abnormal movements in myocaldium of ventriculus cordis, 8 of themwith fibrogenesis in myocardiurn and angiomas in ventrictilus cordis walls, 3 of them withpapillary muscles insufficiency. Conclusion: The Caldiac lessions in kawasaki disease arelocated primarily at coronary alienes,and the present study indicates that echocaldiogramexamination is helpful for analysis of the pathonogenesis process and the prognosis of kawasakidisease.