中国临床医学影像杂志
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儿童大动脉炎心脏受损的超声心动图特点分析
喻晓娜1,王 欣1,杨宝莹2,任卫东1,范禹彤1
1. 中国医科大学附属盛京医院超声科,辽宁 沈阳 110004;2. 辽宁省阜新市彰武县人民医院超声科,辽宁 阜新 123200
Echocardiographic features of heart damage in children with Takayasu arteritis
YU Xiao-na1, WANG Xin1, YANG Bao-ying2, REN Wei-dong1, FAN Yu-tong1
1. Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang 110004, China; 2. Department of Ultrasound, the People’s Hospital of Zhangwu, Fuxin Liaoning 123200, China
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摘要 目的:探讨儿童大动脉炎心脏受损的超声心动图特点。方法:收集我院确诊的原发性儿童大动脉炎17例,回顾分析其超声心动图特征。结果:17例患儿中8例(47.06%)表现为高血压性心脏改变;2例(11.76%)以扩张性心肌病为主要心脏改变,其中1例还合并左室心肌致密化不全;5例(29.41%)主要表现为冠状动脉改变;1例(5.88%)表现为单纯主动脉弓起始段扩张;1例(5.88%)表现为单纯主动脉瓣轻度反流;所有17例患儿中,共5例有不同程度的主动脉瓣反流,4例存在轻度二尖瓣反流。结论:大动脉炎患儿可合并多种心脏改变,超声表现以高血压心脏病改变为主,应注意和相关疾病鉴别。
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喻晓娜1
王 欣1
杨宝莹2
任卫东1
范禹彤1
关键词 Takayasu动脉炎超声心动描记术    
Abstract:Objective: To investigate the echocardiographic features of cardiac damage in children with primary Takayasu arteritis. Methods: Seventeen children with Takayasu arteritis diagnosed in our hospital were enrolled. The echocardiographic features were retrospectively analyzed. Results: Of the 17 patients, 8 patients(47.06%) had hypertensive heart changes; 2 patients(11.76%) had dilated cardiomyopathy as the main cardiac change, including 1 case of non-compaction of ventricular myocardium; 5 patients(29.41%) showed coronary artery changes; 1 patient(5.88%) showed simple aortic arch dilatation; 1 patient(5.88%) showed simple aortic valve regurgitation; in all 17 patients, 5 patients had varying degrees of aortic regurgitation, and 4 patients had mild mitral regurgitation. Conclusion: Children with Takayasu arteritis may be combined with a variety of cardiac changes, and the ultrasound manifestations are mainly hypertensive heart disease changes. Ultrasound physicians should pay attention to distinguishing from related diseases.
Key wordsTakayasu’s arteritis    Echocardiography
收稿日期: 2019-12-21     
PACS:  R543.1  
  R540.45  
通讯作者: 任卫东,中国医科大学附属盛京医院超声科,110004。E-mail:renwdcmu@163.com   
作者简介: 喻晓娜(1969-),女,辽宁沈阳人,讲师。E-mail:1440114556@qq.com
引用本文:   
喻晓娜1,王 欣1,杨宝莹2,任卫东1,范禹彤1. 儿童大动脉炎心脏受损的超声心动图特点分析[J]. 中国临床医学影像杂志, 2020, 31(3): 188-191.
YU Xiao-na1, WANG Xin1, YANG Bao-ying2, REN Wei-dong1, FAN Yu-tong1. Echocardiographic features of heart damage in children with Takayasu arteritis. JOURNAL OF CHINA MEDICAL IMAGING, 2020, 31(3): 188-191.
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