[1]龙振荣,刘卓华,李彬.彩色多普勒超声心动图在川崎病心脏病变中的应用价值[J].南方医科大学学报,2004,(12):1455-1456.
 LONG Zhen-rong,LIU Zhuo-hua,LI Bin.Value of Doppler color echocardiography in diagnosis of Kawasaki disease with cardiac involvement[J].Journal of Southern Medical University,2004,(12):1455-1456.
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彩色多普勒超声心动图在川崎病心脏病变中的应用价值()
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《南方医科大学学报》[ISSN:1673-4254/CN:44-1627/R]

卷:
期数:
2004年12期
页码:
1455-1456
栏目:
出版日期:
2004-12-01

文章信息/Info

Title:
Value of Doppler color echocardiography in diagnosis of Kawasaki disease with cardiac involvement
作者:
龙振荣 刘卓华 李彬
广西医科大学第五附属医院, 广西, 柳州, 545001
Author(s):
LONG Zhen-rong LIU Zhuo-hua LI Bin
The Fifth affiliated Hospital of Guangxi Medical University, Liuzhou 545001 China
关键词:
彩色多普勒超声心动图川崎病儿童
Keywords:
colorechocardiographyKaw asakidiseasechildren
分类号:
R593.2
摘要:
目的 探讨彩色多普超声心动图在川崎病心脏病变中的应用价值。方法 彩色多普超声心动图检查58例川崎病患儿,测量冠状动脉直径,测量房室大小,计算心功能(EF%),观察各瓣膜有否返流及心包有无积液。结果 58例川崎病患儿中发生心脏异常改变有31例(53.45%),冠状动脉病变28例,其中单纯左冠状动脉主干病变17例,右冠状动脉主干3例,左右冠状动脉同时累及8例,2例发生冠状动脉瘤,左室增大9例,右室增大6例,全心增大4例,二尖瓣关闭不全18例,三尖瓣关闭不全16例,心包积液13例,2例有短期内心功能减低。结论 彩色多普勒超声心动图能动态观察冠状动脉的病理改变、进展及估计预后,是无创评价和随访川崎病心脏改变的最具价值的应用工具。
Abstract:
Objective To assess the diagnostic value of Doppler color echocardiography for Kawasaki disease (KD) with cardiac involvement. Methods Doppler color echocardiography was performed in 58 KD cases for measurement of the diameter of the coronary artery and the dimensions of the ventricles. The ejection fraction (EF) of the heart was also calculated and the presence of pericardial effusion and valvular regurgitation examined. Results Cardiac involvement was identified in 31 (53.45%) of the total 58 patients, and 28 patients were found to have coronary artery lesions. Uncomplicated left and right main stem coronary artery lesions were detected in 17 and 3 patients, respectively, lesions involving both two coronary arteries in 8, coronary aneurysms in 2, left ventricle enlargement in 9, right ventricle enlargement in 6, and enlargement of the whole heart in 4 patients. Eighteen patients had mitral regurgitation, 16 had tricuspid regurgitation, 13 had pericardial effusion, and 2 developed temporary cardiac dysfunction. Conclusions Doppler color echocardiography is capable of depicting dynamically the pathological changes and progression of the coronary artery lesions with prognostic indications, to serve as the most valuable non-invasive modality for diagnosis of KD with cardiac involvement.

参考文献/References:

[1] 梁翊常.1987~1991年78所医院川崎病患儿发病调查[J].临床儿科杂志(JClin Pediatr),1994,12(5):319-20.
[2] 林其珊,王爱军,孙斌,等.超声心动图探查川崎病冠状动脉病变[J].中国全科医学杂志,2000,3(6):443-4.Lin QS, Wang AJ, Sun B, et al. Coronary arterial lesion in Kawasaki disease detested by echocardiography [J]. Chin Gen Pract, 2000, 3(6): 443-4.
[3] 王慕逖.儿科学[M].第5版,北京:人民卫生出版社,2000.187-8.
[4] 王鸿,李慧忠,耿丹明,等.彩色多普勒对川崎病冠状动脉病变诊断及治疗评价[J].中国超声医学杂志,2003,19(2):144-6.Wang H, Li HZ, Geng DM, et al. Study on diagnosis and therapy of kawasaki disease with coronary arterial lesions by color doppler imaging[J]. Chin J Ultrasound Med, 2003, 19(2): 144-6.
[5] Scott JS, Ettedgui JA, Neches WH. Cost-effective use of echocardiography in children with Kawasaki disease[J]. Pediatrics, 1999,104(5): 1119.
[6] Noto N, Kerasawa K, Ayusawa M, et al. Prognostic value of dobutamine stress echocardiography in children with Kawasaki disease [J].J Am Coll Cardiol, 1999, 34(Suppl): 1240-590.
[7] 赵晓兰,裘佩春,刘保明,等.冠状动脉超声显像研究川崎病冠状动脉瘤:十二年回顾分析[J].中国超声医学杂志,1997,13(7):53-5.Zhao XL, Qiu PCh, Liu BM, et al. Kawasaki disease with coronary artery aneurysm detected by ultrasonography: Twelve Years Experiences Analysis [J]. Chin J Ultrasound Med, 1997, 13 (7):53-5.

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备注/Memo

备注/Memo:
收稿日期:2003-12-27。
作者简介:龙振荣(1957- ),女,1980年毕业于桂林医学院,副主任医师,电话:0772-2855151,E-mail:longzhenrong@tom.com
更新日期/Last Update: 1900-01-01