摘要
本文报道100例选择性冠状动脉造影的临床X线分析。临床初诊为冠心病60例,胸痛待查40例。冠心病有9种造影征象,我们将其概括为器质性改变、血液动力学改变和正常。本组各型冠心病中,陈旧性心肌梗塞的造影变化最重而梗塞前大多有心绞痛病史。电子谐影和减影有助予提高诊断准确性。
Clinical and radiological analyses of 100 cases (89 males and 11 females), with age ranged 29-72 yrs.(mean 53.3 yrs.), of selective coronary angio graphy were presented. Among the 100 cases, clinical diagnosis included 60 cases of coronary heart disease (CHD), 31 cases of suspected CHD, 8 cases of arrhythmia and 1 case of dilated cardio myopathy. Coronary angiograms showed right dominant, balanced and left dominant coronary circulation in 80 cases (80%), 16 cases (16%) and 4 cases (4%) respectively. Angiograpic findings in 60 cases of CHD demonstrated 9 different signs which might be summarized as three different types: organic change, hemodynamic change and normal angiogram. In different types of CHD, angiographic changes of 30 cases of old myocardial infarction were the most serious. Angiograms of 7 patients of CHD were normal, which might be related to coronary spasm. Electronic subtraction and electronic harmonization were helpful to raise diagnostic accuracy.
出处
《中国循环杂志》
CSCD
1991年第5期399-401,共3页
Chinese Circulation Journal
关键词
冠状动脉造影
X线诊断
Coronary heart disease
Coronary angiography
