青少年川崎病合并冠状动脉3支病变1例
One case report on Adolescent Kawasaki disease combined with a triple branch coronary artery lesion
李晗 1况春燕1
作者信息
- 1. 贵州医科大学附属人民医院心内科(贵阳,550002);贵州省人民医院心内科
- 折叠
摘要
本文报道1例16岁的青少年患者,川崎病史6年,不规律口服阿司匹林抗血小板治疗,未规律复诊.在患川崎病后6年因胸痛症状入院,入院后冠状动脉造影提示冠状动脉3支病变、前降支开口闭塞、回旋支近段狭窄50％、右冠状动脉近段以远完全闭塞.给予冠状动脉旁路移植术治疗后,患者胸痛缓解.本文针对川崎病引起的冠状动脉病变情况及其治疗进行分析.
Abstract
This paper reports a 16-year-old adolescent patient with a history of Kawasaki for 6 years who was treated with irregular antiplatelet therapy(oral aspirin)without regular follow-up visits.He was admitted to hos-pital due to chest pain after Kawasaki disease six years.Coronary angiography revealed lesions in three branches of the coronary artery,complete occlusion of the anterior descending branch,50％stenosis of the proximal circumfl-exal branch,and complete occlusion of the proximal right coronary artery.After coronary artery bypass grafting,the patient's chest pain was relieved.
关键词
川崎病/冠状动脉瘤/冠状动脉旁路移植术Key words
Kawasaki disease/coronary artery aneurysm/coronary artery bypass grafting引用本文复制引用
基金项目
贵州省优秀青年科技人才项目(第十二批)(黔科合平台人才[2019]5662)
贵州省科技计划项目(黔科合基础[2018]1097)
出版年
2024
NETL
NSTL
万方数据