儿童大动脉炎心脏受损的超声心动图特点分析

Echocardiographic features of heart damage in children with Takayasu arteritis

目的:探讨儿童大动脉炎心脏受损的超声心动图特点。方法:收集我院确诊的原发性儿童大动脉炎17例,回顾分析其超声心动图特征。结果:17例患儿中8例(47.06%)表现为高血压性心脏改变;2例(11.76%)以扩张性心肌病为主要心脏改变,其中1例还合并左室心肌致密化不全;5例(29.41%)庄要表现为冠状动脉改变;1例(5.88%)表现为单纯主动脉弓起始段扩张;1例(5.88%)表现为单纯主动脉瓣轻度反流;所有17例患儿中,共5例有不同程度的主动脉瓣反流,4例存在轻度二尖瓣反流。结论:大动脉炎患儿可合并多种心脏改变,超声表现以高血压心脏病改变为主,应注意和相关疾病鉴别。

Objective:To investigate the echocardiographie features of cardiae damage in children with primary Takayasu arteritis.Methods:Seventeen children with Takayasu arteritis diagnosed in our hospital were enrolled.The echocardiographic features were retrospectively analyzed.Results:Of the 17 patients,8 patients(47.06%)had hypertensive heart changes;2 pa-tients(11.76%)had dilated cardiomyopathy as the main cardiac change,including 1 case of non-compaction of ventricular my-ocardium;5 patients(29.41%)showed coronary artery changes;1 patient(5.88%)showed simple aortic arch dilatation;1 patient(5.88%)showed simple aortic valve regurgitation;in all 17 patients,5 patients had varying degrees of aortic regurgitation,and 4 patients had mild mitral regurgitation.Conclusion:Children with Takayasu arteritis may be combined with a variety of car-diac changes,and the ultrasound manifestations are mainly hypertensive heart disease changes.Utrasound physicians should pay attention to distinguishing from related diseases.