彩超诊断小儿川崎病

目的 探讨彩超在小儿川崎病诊断中的应用价值。方法 对41例川崎病患者进行彩超检查，并进行回顾性分析。结果 41例川崎病患儿中。有冠状动脉损害者19例，发生率46．3％．其中冠状动脉扩张15例，占78．9％，冠状动脉瘤3例，占15．8％。巨大冠状动脉瘤1例，占5．3％。合并二尖瓣、三尖瓣返流13例，左室扩大3例，少量心包积液5例。结论 彩超检查可及时发现川崎病患者的心血管损害情况，尤其是冠状动脉病变情况，为小儿川崎病及时诊断，及时治疗提供了有价值的参考信息。

Application of Color Doppler Ultrasound in Diagnosis of Children with Kawasaki Disease

Objective To evaluate the application value of color doppler ultrasound in diagnosis of children with Kawasaki disease. Methods 41 cases of Kawasaki disease were detected by color doppler ultrasound and review analysis. Results 41 cases Kawasaki disease 19 cases coronary arterial were damaged,the occurring rate 46.3%,among them coronary arterial dialation 15 cases,accounts for 78.9%;coronary arterial anearysm 3 cases,accounts for 15.8%;huge coronary arterial anearysm 1 case,accounts for 5.3%.Merging mitral valve and teicuspid valve regurgitation13 cases,left ventricle enlarge 3 cases,and a few pericardial effusion 5 cases.Conclusion The cardiovascular damaging situation of Kawasaki disease can be found in time when checked by color doppler ultrasound.Especially the coronary arterial pathological change situation has provided reference information for prompt cure and diagnosis for children with Kawasaki disease.