彩色多普勒在川崎病冠状动脉显像中的应用价值

目的：研究彩色多普勒在川崎病冠状动脉显像中的应用价值。方法：对31例川崎病病例，按常规进行心脏扫查，重点放在主动脉根部短轴切面上，仔细观察、测量冠状动脉情况，然后采用冠状动脉成像技术观察冠状动脉内血流情况。结果：本组31例病例中，有3例心脏属于正常范围，28例冠状动脉内径及管壁回声结构有不同改变；冠状动脉成像：于舒张期均可见从主动脉根部流入左右冠状动脉的红色血流信号。结论：彩色多普勒超声心动图是对川崎病冠状动脉病变进行诊断、指导治疗及评价预后的最佳的、可重复进行和无创伤的可靠检查方法。

Applicable Value of the Color Doppler Imaging in Showing Coronary Artery Abnormality with Kawasaki Disease

Objective:To study the applicable value of the color Doppler echocardiography in showing coronary artery(CA) abnormality with Kawasaki Disease(KD),Methods:31 patient in patient with KD is selected,diagnosis with the standard of Japanese MCLS research committee.Examing by routine echocardiography,pay attention to the CA from short axis view of the heart base and measure the diameter,then show the flow of CA by coronary artery angiography.Results:Of 31 cases,3 case with normal in hearts,and 28 with different change in diameter and wall construction of CA.Red flow can be seen flowing into both of the coronary artery from the root of aorta by coronary artery angiography in heart relaxation time.Conclusions:Color Doppler Echocardiography is the best and reliable examination for diagnosing coronary artery abnormality with KD.