摘要川崎病是一种病因不明的非特异性全身中小动脉血管炎，最严重的并发症是冠状动脉病变，可造成严重的心血管事件。由于病因及发病机制不明，冠状动脉病变的急性期病理改变及远期演变对临床诊治和长期管理尤其重要。现对川崎病所致冠状动脉病理改变的研究进展及冠状动脉病变的远期预后进行综述。

abstractsKawasaki disease is a nonspecific systemic vasculitis of unknown etiology which mainly involves small and medium arteries.The most serious complication is coronary artery lesions, which can lead to serious cardiovascular events.Because of the unknown etiology and pathogenesis, the acute pathological changes and long-term evolution of coronary artery lesions are particularly important for clinical diagnosis, treatment and long-term management.This article reviews the research progress of coronary artery pathology in Kawasaki disease and the long-term prognosis of coronary artery lesions.