彩色多普勒超声在川崎病早期诊断及治疗监测中的价值

The value of Kawasaki disease by color Doppler ultrasound of early diagnosis and treatment monitoring

目的:探讨超声心动图在川崎病早期诊断及治疗监测中的价值。方法:对2003年6月-2006年6月临床诊断为川崎病的391例患儿超声心动图表现及临床实验室资料(如血小板,血沉、CRP)进行回顾性分析,并将其实验室资料分冠状动脉扩张和非冠状动脉扩张两组进行统计学分析。结果:391例患者中冠状动脉病变160例,其中LCA扩张68例,RCA47例,LCA、RCA同时扩张40例,冠状动脉瘤10例,并发心包积液5例,左心室增大8例,两组实验室资料有显著差异。结论:川崎病行超声心动图检查不仅为川崎病早期诊断提供依据,而且对指导其治疗和估计预后也有重要的价值。

Objective：To evaluate Kawasaki disease by echocardiography in the value of early diagnosis and treatment monitoring. Methods：In June 2003 to June of 2006, 391 cases of children with a clinical diagnosis of Kawasaki disease and clinical echeeardiography, laboratory information （such as platelets, ESR, CRP） were retrospectively analyzed, expansion of its laboratory information for coronary and non-coronary expansion of the two groups were analyzed statistically.Results：Of 391 patients with coronary artery disease in 160 cases, of which 68 cases LCA expansion, RCA47 cases. LCA, RCA expansion while 40 cases, coronary artery aneurysms in 10 cases, with five cases of pericardial effusion, and left ventricular enlargement eight cases, significant difference between the two groups laboratory data. Conclusion： Echocardiography inspection of Kawasaki disease is not only to provide a basis for the early diagnosis of Kawasaki disease. but also for guiding treatment and prognosis is of great value.