川崎病冠状动脉病变超声心动图早期诊断与追踪观察价值

Evaluation of Coronary Arterial Lesions in Kawasaki Disease by Echocardiography

目的:探讨超声心动图对川崎病冠状动脉病变的诊断价值。方法:临床诊断为川崎病患儿41例常规超声心动图检查,重点检查左右冠状动脉主干。结果:41例川畸病患儿中有22例冠状动脉异常,发生率53．6％(22／41),包括冠状动脉扩张19例、冠状动脉瘤 3例。结论:超声心动图对冠状动脉扩张和冠状动脉瘤形成的诊断具有特异性,能清晰的显示冠状动脉内径、扩张程度,而且随访观察简便易行,对川崎病早期诊断及预后估计具重要实用价值。

Objective：To evaluate the effect of echocardiography in the diagnosis of coronary lesions in Kawasaki disease. Methods：Forty-one cases of Kawasaki disease underwent echocardiography. Results：Twenty-two cases showed coronary arterial lesions, with the incidence of 53.6% （22/41）. Nineteen cases showed coronary dilatation and 3 showed coronary aneurysm. Conclusion：Measurement of coronary artery in Kawasaki disease by echocardiography plays an important role in detecting coronary artery dilatation and coronary aneurrysm formation.