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川崎综合征首次超声心动图检查检测出的冠状动脉病变的发生率

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世界核心医学期刊文摘（儿科学分册） 2006年第12期2卷 16-17页

作者： Baer A.Z. Rubin L.G. Shapiro C.A. 陈莉萍 Schneider Children's Hospital 269-01 76th AveNew Hyde ParkNY 11040United States Dr.

Objectives:To determine whether coronary artery lesions (ectasia and aneurysm) are commonly observed on the initiale chocardiogram of patients with acute Kawasaki syndrome,whether coronary artery ectasia and/or aneurysms occur more frequently in patients with incomplete Kawasaki syndrome than in those patients with complete findings,and whether earlier diagnosis and treatment of Kawasaki syndrome are associated with less frequent occurrence of coronary artery ectasia and/or aneurysm. Design:A retrospective medical record ***:A tertiary care pediatric hospital. Participants:One hundred patients treated for Kawasaki syndrome between July 1,1998,and June 30,2003,who were identified by a medical record search. Main Outcome Measure:Prevalence of coronary artery lesions (ectasia and aneurysm) on the initial and subsequent echocardiograms. Results:Forty-four percent of patients had a coronary artery lesion (31%with ectasia,13%with aneurysm) on the initial echocardiogram. Patients with incomplete Kawasaki syndrome were treated significantly later(median,10 days) and had a significantly higher occurrence of coronary artery aneurysms over the course of their illness(37%) than those with complete Kawasaki syndrome,who were treated at a median of 7 days (P< 0.001) and had a 12%aneurysm occurrence (P=0.009). Patients treated by day 7 of illness had a less frequent occurrence of aneurysm(6%) compared with those patients treated between days 8 and 10 of illness (27%) (P=0.03).Conclusions:Coronary artery lesions are frequently detected on the initial echocardiogram of children with Kawasaki *** future studies show ectasia to have a relatively high degree of specificity for Kawasaki syndrome,the initial echocardiography may be a useful adjunctive diagnostic test.

关键词：川崎综合征冠状动脉病超声心动图动脉瘤发生率检查检测冠状动脉扩张冠状动脉瘤病历调查完全

维普期刊数据库

二维超声心动图诊断、随访川崎病的冠状动脉损害(附54例报告)

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陕西医学杂志 1988年第3期 28-30+66页

作者：裘佩春,赵晓兰,林淑金,荣凯西安医科大学第二附属医院西安医科大学第二附属医院西安市儿童医院西安市儿童医院

1967年日本川崎富作(Kawasaki)首先报告一组原因未明的小儿全身血管炎综合征,命名为川崎病(MCLS,Mucocutaneous L-ymph Node Syndrome)或Kawasaki病。近年来我国各地相继有本病的临床病案报告,

关键词：川崎病冠状动脉右冠脉冠脉扩张短轴切面二维超声冠脉损害左前降支左旋支超声心动图超声波诊断动脉瘤发生率左冠脉冠脉受累冠脉内径冠脉造影冠状动脉造影

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Kawasaki病7例报告

武汉医学杂志 1984年第2期 92-94页

作者：廖耀萱徐文鼎武汉市儿童医院武汉市儿童医院

Kawasaki在1967年于日本首先报告一种病因不明的热性出疹性疾病,其特征为持续发热,粘膜充血,皮疹,颈淋巴结肿大和指甲周围脱皮等,称之为急性发热性皮肤粘膜淋巴结综合征(简称MCLS),以后许多国家陆续报告。我国从1978年以来,上海、

关键词： Kawasaki 急性发热性颈淋巴结肿大膜充血出疹性疾病口腔粘膜改变动脉瘤发生率冠状动脉瘤杨梅舌二尖瓣闭锁不全

内瘘动脉端顺穿与逆穿血液透析20例临床分析

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山东医药 2002年第32期 34-34页

作者：贺志顺赵金凤徐少春淄博市博山医院山东博山 255200 淄博市博山医院

1999年10月～2000年10月,我院采用静脉端顺穿而动脉端分别进行逆穿与顺穿的两种方式对20例患者进行了透析,取得了较满意的临床疗效。现报告如下。资料与方法:本组20例中原发病为慢性肾小球肾炎15例,多囊肾5例。随机分为对照组和试验组... 详细信息

1999年10月～2000年10月,我院采用静脉端顺穿而动脉端分别进行逆穿与顺穿的两种方式对20例患者进行了透析,取得了较满意的临床疗效。现报告如下。资料与方法:本组20例中原发病为慢性肾小球肾炎15例,多囊肾5例。随机分为对照组和试验组。其中,对照组逆穿10例,男9例,女1例;年龄29～62岁,平均47岁。试验组顺穿10例,男8例,女2例;年龄33～66岁,平均50岁。两组均

关键词：血液透析透析疗法动脉动脉端逆穿静脉穿刺点血流量动脉瘤发生率