145例冠状动脉狭窄的病理分析

Pathological analysis of coronary narrowing in 145 cases

本文观察并分析了145例有冠状动脉狭窄的尸检心脏。结果表明,冠状动脉狭窄的发生及其程度与年龄关系密切,而且与心肌梗塞的发生有明确的因果关系。本文还显示中青年就已出现冠状动脉狭窄,而且其心肌梗塞的发生率与老年人无明显差异,这提示应从青年时期起预防动脉粥样硬化,而对老年冠心病患者则应密切监护。我们还分析了冠脉狭窄患者的死亡原因以及有关疾病和因素与冠脉狭窄的关系。提出了减少冠心病患者死亡的关键措施以及预防动脉粥样硬化的方法。

145 specimens of heart with coronary narrowing were studied. The result shows that coronary narrowing is closely related to the age of patients and has a definite cause and effect correlation with occurence of myocardial infarct. It is suggested that prevention of coronary heart disease should be started since younger or age. Old patients with coronary heart disease should be intimately supervised. The risk factors, death causes of coronary narrowing and measures for reducing mortality of patients with CHD were discussed in the paper.