选择性冠状动脉造影163例资料分析

An Analysis of 163 cases of selective Coronary arteriography

目的 了解在确诊或怀疑冠心病病人群体中冠状动脉情况 ,为冠心病诊断与治疗提供参考。方法 对我院连续 16 3例选择性冠状动脉造影资料进行分析。结果 ①右冠优势型 81% ;左冠优势型 10 4 % ;均衡型 8 6 % ;② 4 7 3%的病人发现有冠脉狭窄 ,其中单支病变 33 8% ,二支病变 37 6 % ,三支病变 2 8 6 %。共累及 14 2支血管 ,累及前降支最多占 4 0 8%、右冠 30 3%、回旋支 2 6 8% ,左主干病变 2 1% ;③全组室壁瘤 13例占 8% ,其中有侧支循环形成 5例。④正常心电图表现 99例占 6 0 8% ,其中 2 4例冠造显示冠脉病变占 2 4 2 %。结论 选择性冠状动脉造影对于确切了解冠状动脉情况 ,特别是对那些尚未出现症状的冠心病病人有极其重要的意义。

Objectives To learn the status of coronary artery on the potential coronary heart disease cases, to provide the reference to the therapy of the coronary heart disease. Methods To analyse the 163 cases of selective Coronary arteriography. Results ①The type of right dominate, left dominate and balance coronary artery were 81%,10.4%,8.6% respectively. ②Coronary atherosclerotic lesion was 47.3%, involved single lesion 33.8%, double lesion 37.6% and triple lesion 28.6%. The persentage of stenosis of the left anterior descending, right coronary, left circumflex and left main trunk were 40.8%,30.3%,26.8%,2.1% respectively. ③13 cases (8%) of ventricular aneurysm and 5 cases of collateral circulation were found. ④Electrocardiogram of 99 cases(60.8%) was normal, in which 24 cases (24.2%) involved in coronary atherosclerotic lesion. Conclusions Coronary arteriography has very important significace for understanding the status of coronary artery, especially in the patients with no clinical symptom.