冠状动脉造影200例结果及临床分析

Clinical Analysis and Results of Coronary Arteriography in 200 Cases

目的通过200例冠状动脉造影结果,探讨冠状动脉病变与临床多种因素的关系。方法采用Judkin'法,经桡动脉或者股动脉穿刺,在多个投射角度作选择性左右冠状动脉造影。结果阳性率占70%,累计280支冠状动脉,其中单支病变37.0%(54/140)双支病变38.4%(56/140),三支病变20.5%(24/140),左主干+三支病变4.1%(6/140)。结论男性、年龄大于45岁、A型性格、有吸烟史及高血压病史,有心肌梗塞和典型心绞病史、心电图典型缺血改变者冠状动脉造影的阳性率明显增高。

Objective To explore the relation between coronary artery lesion and clinic multiple-factor by analysing the results of coronary arteriography in 200 cases.Methods The left and right coronary artery or radial artery was selectively radiographed in varied projective angle with Judkin＇s method of femoralis puncture.Results The positive rate was 65.2% with 280 vessels involved.The single-vessel lesion was 37.0%（54/140）,double vessel lesion 38.4%（56/140）,triple-vssel both left main stem and triple-vessel lesion 4.1%（6/140）.Conclusion The positive rate of coronary arteriography was significantly higher in those patients who were male,more than 45 years-old,A-type character with a history of smoking,hypertension,myocardial infarction,typical angina pectoris,typical ischemia changes in ECG.