论文部分内容阅读
目的 观察川崎病 (KD)伴冠状动脉病变 (CAD)的远期恢复情况。方法 对 2 6 2例确诊KD住院患儿 ,于急期或亚急期行心电图及超声心动图检查 ,并于病程不同时期 (6个月至 10年 )进行复查。结果 急期和亚急期行心电图检查 2 6 2例 :异常 74例。随访中低电压全部恢复 ,3例重度冠状动脉瘤患儿心肌缺血持续存在。超声心动图检查发现CAD 5 0例 ,随访 6个月至 10年 ,33例恢复 ,6例未愈 ,11例失访。无CAD的KD患儿随访结果正常。结论 CAD的KD患儿约 6 0 %在 10年内痊愈 ,阿斯匹林需持续用至痊愈。
Objective To observe the long-term recovery of Kawasaki disease (KD) with coronary artery disease (CAD). Methods Twenty-six children diagnosed as KD in our hospital were enrolled in this study. Electrocardiogram (ECG) and echocardiography were performed in acute or subacute stage and were examined at different stages of the course of disease (6 months to 10 years). Results Acute and subacute electrocardiographic examination of 226 cases: abnormal 74 cases. During the follow-up, all the low and medium voltages were restored. Myocardial ischemia continued to occur in 3 patients with severe coronary artery disease. Echocardiography found CAD 50 cases, followed up for 6 months to 10 years, 33 cases recovered, 6 cases healed, 11 cases were lost. KD-free children with CAD follow-up results were normal. Conclusion Approximately 60% of CAD children with KD recovered within 10 years and aspirin should be continuously used to recover.