川崎病冠状动脉损害超声心动图及心电图分析

Echocardiographic and Electrocardiographic Analysis of Coronary Artery Lesions in Kawasaki Disease

目的 探讨超声心动图与心电图对川崎病冠状动脉损害的诊断价值。方法 对川崎病患儿 78例行超声心动图及心电图检查 ,根据超声检查结果分为 3组 ,并对各组进行分析。结果 超声检出冠状动脉病变 45例 ,其中冠状动脉扩张 32例 ,冠状动脉瘤 1 3例 ;心电图异常 1 6例。冠状动脉损害组心电图异常率高于无冠状动脉损害组 (P <0 .0 1 ) ;冠状动脉瘤组心电图异常率明显高于冠状动脉扩张组 (P <0 .0 0 5)。结论 超声心动图与心电图相结合可更全面地反映川崎病的冠状动脉损害。

Objective To investigate the diagnostic value of combination of echocardiography with electrocardiography for coronary artery lesions(CAL) in Kawasaki disease(KD).Methods Seventy eight children with KD received echocardiographic and electrocardiographic examination.Seventy eight cases were divided into 3 groups according to the results of echocardiogram.Results CAL was discovered in 45 cases and 32 cases with coronary artery dilation,the other 13 cases with coronary artery aneurysm among them.Abnormal electrocardiogram was found in 16 cases.ratio of abnormal electrocardiogram was higher in CAL group than that in normal coronary artery group(P<0.01). Ratio of abnormal electrocardiogram was higher in coronary artery aneurysm group than that in coronary artery dilation group(P<0.005).Conclusion The combination of echocardiography and electrocardiography can more sensitively indicate CAL in KD.