论文部分内容阅读
冠状动脉瘤血栓性闭塞导致心肌梗塞是川崎病最严重的并发症。为评估这些病人的远期预后,作者应用无创性心功能测试,对8例8～15年前患川崎病并发心肌梗塞但无症状的病人进行了研究。对象 1973年至1989年共有287例进行了冠状动脉造影,83例证实有冠状动脉病变,31例病变严重,显示大动脉瘤(直径>8mm)、狭窄(>75％)或梗阻等,其中11例心肌梗塞,2例死亡(起病后2.9和3.6年),1例在起病后7.2年施行了冠状动脉搭桥术,效果满意。余8例进行了随访研究,平均13.1
Thrombotic occlusion of the coronary aneurysm causes myocardial infarction to be the most serious complication of Kawasaki disease. To assess the long-term prognosis of these patients, the authors used noninvasive cardiac functional tests to study 8 patients with Kawasaki disease who developed myocardial infarction 8 to 15 years ago but asymptomatic. A total of 287 patients underwent coronary angiography between 1973 and 1989, 83 confirmed coronary artery lesions, and 31 with severe lesions showing aortic aneurysm (> 8 mm in diameter), stenosis (> 75%) or obstruction, of which 11 Myocardial infarction, 2 deaths (2.9 and 3.6 years after onset), and 1 coronary artery bypass grafting at 7.2 years after onset were satisfactory. The remaining 8 cases were followed up, with an average of 13.1