摘要
目的：了解国人心脏瓣膜病合并冠状动脉病变的发生率。方法：从１９９４年１月～１９９６年８月连续对８２例年龄４５岁以上，拟行手术治疗的心脏瓣膜病患者，于术前常规行选择性冠状动脉造影检查，其中风湿性心脏病（风心病）６１例，二尖瓣脱垂１２例，非风湿性主动脉瓣病变９例。结果：８２例患者中，仅发现２例存在冠状动脉明显狭窄，均为风心病二尖瓣病变合并主动脉病变。心脏瓣膜病合并冠状动脉病变的发生率为２．４％（２／８２），风心病合并冠状动脉病变的发生率为３．２％（２／６１）。结论：国人心脏瓣膜病合并冠状动脉病变的发生率较低，术前常规冠状动脉造影检查可选择在５０岁以上的患者进行。
Objective: To investigate the incidence of coronary atherosclerosis in valvular heart disease in Chinese. Methods: Coronary arteriographies of 82 cases of heart valvelar disease, who were candidated for heart valve operation, were performed. This group included 61 cases of rheumatic heart valve disease, 12 of mitral valve prolapse and 9 of non rheumatic aortic valve disease. Results: The significant coronary artery obstructive lesions were found in 2 cases. The total incidence of heart valvelar disease coexisting coronary obstructive lesion was 2.4% (2/82) and 3.2% (2/61) in rheumatic heart valve disease.Conclusion: The incidence of heart valve disease coexisting coronary atherosclerosis is remarkably low in Chinese and routine coronary arteriography may be carried out in patients older than 50 years before operation.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
1997年第S1期92-93,共2页
Academic Journal of Second Military Medical University
