目的　探讨川崎病（KD）所致冠状动脉疾病与成年后急性心血管事件的相关性。方法 回顾分析1例18岁、有 KD病史的冠心病患者的临床资料，同时检索相关文献并进行总结。结果　女性患者，18岁，活动后胸痛、胸闷；心脏血管 造影显示右冠状动脉主干1段局部壁增厚，管腔重度狭窄。患者于7岁时有明确的KD病史，并伴有冠状动脉瘤。结论　儿 童KD与成年后相关心血管疾病密切相关。

　Objective　To explore the correlation between coronary artery disease caused by Kawasaki disease (KD) and acute cardiovascular events in adulthood. Methods　The clinical data of an 18-year-old coronary heart disease patient with a history of KD was retrospective analyzed, and the relevant literature was retrieved and summarized. Results　A female patient, 18-year-old, suffered from chest pain and chest distress after exercise. Cardiac angiography revealed local wall thickening and severe lumen stenosis in the main right coronary artery. The patient had a clear history of KD at the age of 7 years, complicated with a coronary aneurysm. Conclusion　KD in childhood is closely related to cardiovascular diseases in adulthood.