摘要
在怀疑心肌缺血而施行201T1心肌断层显像的1234例病人中有98例显示出心肌弥漫性清除率降低(DSWO),占7.9%.这98例中的58例进行了冠状动脉造影,将其心肌显像与血管造影结果进行对照分析,提示DSWO多见于多支病变,但也可见于一支病变及冠状动脉狭窄<75%的病例.另外,在冠状动脉疾病组中合并有高血压、高脂血症及糖尿病者较多见,且随着冠状动脉狭窄数目的减少,合并症的发生率有增高的趋势.故考虑除心率减慢外,高血压、高脂血症及糖尿病等凡可引起心肌冠状动脉微循环障碍的疾病也可能是促进DSWO出现的因素。
Abstract DSWO shown on the Bull's eye images was found in 98 of 1234 patients suspected of having coronary artery disease and examined with 201T1 myocardial SPECT imaging. 48 of these 98 patients underwent coronary arteriography. Comparison studies were performed between Bull's eye SPECT image, coronary arteriography and laboratory data. DSWO was found in 11 cases with single vessel disease(1VD), 18 cases with double vessel disease (2VD) and 21 cases with triple vessel disease (3VD).Three of 58 cases with stenosis of a coronary artety less than 75% also showed DSWO. DSWO was also found in 3 cases with hypertrophic cardiomyopathy. In the CAD group, DSWO appeared frequently accompanying hypertension, hyperlipemia and diabetes mellituis. These complications tended to increase in patients with 1VD and the stenosis less than 75%.
出处
《中华核医学杂志》
CAS
CSCD
北大核心
1994年第3期140-143,共4页
Chinese Journal of Nuclear Medicine