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。
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.
关键词
Takayasu动脉炎 /
超声心动描记术
Key words
Takayasu’s arteritis /
Echocardiography
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