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[1例川崎病合并心肌梗死的治疗]

[Treatment of a case of Kawasaki's disease complicated with myocardial infarction].

作者信息

Li Xi Hui, Xiao Feng, Li Yan, DU Ying Li, Song Nai Qing, Zhang Ming Li

机构信息

Department of Cardiovascular Surgery, Peking University First Hospital, Beijing 100034, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2007 Aug 18;39(4):381-4.

Abstract

Coronary artery by-pass graft (CABG) and ventricular aneurysmectomy were done for a 2.5 years old girl with Kawasaki's disease complicated by myocardial ischemia and old myocardial infarction, left ventricular aneurysm formation and heart failure. Post-operatively, the cardiac out-put of the patient increased, the heart failure syndrome disappeared, and cardiac function improved to class I(NYHA) one month later. In the 6-year follow-up, the patient kept her heart function at class I, and had normal growth and development. Coronary artery by-pass graft is an effective therapeutic strategy for childhood myocardial ischemia, and attention should be paid to some special considerations.

摘要

对一名患有川崎病并发心肌缺血、陈旧性心肌梗死、左心室室壁瘤形成和心力衰竭的2.5岁女孩进行了冠状动脉搭桥术(CABG)和室壁瘤切除术。术后,患者的心输出量增加,心力衰竭综合征消失,1个月后心功能改善至I级(纽约心脏协会分级)。在6年的随访中,患者的心功能维持在I级,生长发育正常。冠状动脉搭桥术是治疗儿童心肌缺血的有效治疗策略,应注意一些特殊情况。

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