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小儿时期冠状动脉病变多表现为动脉瘤或动脉瘘,两者均有冠状动脉异常扩张,但其血液动力学改变、临床表现及治疗措施明显不同。我科自1994年10月～1997年12月收治冠状动脉瘤及冠状动脉瘘患儿共9例,现作一对比分析。 1 临床资料 1.1 一般资料:冠状动脉瘤8例,男6例,女2例,年龄5个月～11岁。原发病:川崎病7例,马凡氏综合征1例。冠状动脉瘘1例,男,8岁,无伴发的其他心脏畸形。冠状动脉瘤患儿均无与冠状动脉瘤直接相关的症状和体征。冠状动脉瘘患儿症状与左向右分流型先心病相似,表现活动后心悸、气短。
Coronary artery lesions in children during the performance of aneurysms or arterial fistula, both abnormal coronary artery dilatation, but its hemodynamic changes, clinical manifestations and treatment were significantly different. Our department from October 1994 to December 1997 admitted to coronary aneurysm and coronary artery fistula in a total of 9 cases, for a comparative analysis. 1 Clinical data 1.1 General information: 8 cases of coronary aneurysm, 6 males and 2 females, aged 5 months to 11 years. Primary disease: Kawasaki disease in 7 cases, Marfan syndrome in 1 case. Coronary fistula in 1 case, male, 8 years old, with no other cardiac malformations. Coronary aneurysms in children with no direct correlation with symptoms and signs of coronary aneurysms. Children with coronary artery fistula symptoms and left to right shunt congenital heart disease similar to the performance of heart palpitations, shortness of breath.