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川崎病冠状动脉病变48例临床分析
引用本文:郭华贤,许津莉,李秀珍,刘占矿,王义成,马文芬. 川崎病冠状动脉病变48例临床分析[J]. 河北北方学院学报(医学版), 2003, 20(4): 10-12
作者姓名:郭华贤  许津莉  李秀珍  刘占矿  王义成  马文芬
作者单位:1. 张家口医学院第一附属医院儿科,075000
2. 张家口医学院第一附属医院神经科,075000
3. 张家口医学院第一附属医院B超室,075000
摘    要:目的 :了解川崎病冠脉病变的发展过程 ,探讨动态超声心动图检查的价值。方法 :本文回顾分析了 4 8例川崎病患者的超声检查结果。结果 :本组病例冠状动脉病变发生率为6 0 % ,冠状动脉扩张 35例 ,占 73% ,冠状动脉瘤 13例 ,占 2 7% ,最早 1例是发病后 4d。结论 :川崎病急性期一过性冠脉扩张较普遍 ,超声心动图随访检查可提高冠脉病变的检出率 ,了解冠脉病变的动态变化 ,利于早期诊断和指导治疗。

关 键 词:川崎病  超声心动图  丙种球蛋白类  冠状动脉疾病
文章编号:1005-8796(2003)04-10-03

The Clinical Analysis of 48 Cases of Coronary Changes in Kawasaki Disease
Guo Huaxian,Liu Zhankuang,Wang Yicheng,et al The First Affiliated Hospital of Zhangjiakou Medical College,Zhangjiakou,,China. The Clinical Analysis of 48 Cases of Coronary Changes in Kawasaki Disease[J]. Journal of Hebei North University:Medical Edition, 2003, 20(4): 10-12
Authors:Guo Huaxian  Liu Zhankuang  Wang Yicheng  et al The First Affiliated Hospital of Zhangjiakou Medical College  Zhangjiakou    China
Affiliation:Guo Huaxian,Liu Zhankuang,Wang Yicheng,et al The First Affiliated Hospital of Zhangjiakou Medical College,Zhangjiakou,075000,China
Abstract:Objective: To investigate the developmental sequences of coronary changes in Kawasaki disease. Methods:48 patients were studied by series echocardiograms. Results:48 patients(60%)showed abnormalities of the heart including coronary dilatation(35 cases,73%),coronary aneurysm(13 cases,27%).Coronary changes occurred early on the 4th day of the disease-onset. Conclusion: Transitional dilatation of coronary artery in Kawasaki disease is common. Early detection and diagnosis were beneficial to treat planning.
Keywords:Kawasaki disease   Echocardiography   Gamma-globulins   Coronary disease
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