冠状动脉瘤样扩张89例临床分析

Clinical Analysis of 89 Cases with Coronary Ectasia

目的:探讨冠状动脉瘤样扩张的临床特点及治疗的方法。方法:常规方法行选择性冠状动脉造影及右前斜位左心室造影。结果:由冠状动脉造影确诊的89例冠状动脉瘤样扩张,表现为心绞痛者67例,占75.3％。结论:冠状动脉瘤样扩张的主要临床表现是心绞痛,主要的确诊方法是冠状动脉造影,本病一旦确诊应长期服用抗血小板药物和抗凝药物,以防心肌梗死的发生。对急性心肌梗死应积极溶栓,无效者可行冠状动脉旁路移植术,对瘤样扩张明显的患者,可置入带膜支架,防止动脉瘤破裂。

Objective: To investigate the clinical characteristics and therapeutic methods of coronary ectasia. Methods: Coronary angiographies were completde by regular rortes and left ventriculogaphies were completed in anterior- right oblique position. Results: Among those 89 cases with coronary ectasia di-agonosed by coronary angiography, there were 67 patients presenting angina, accounting for 75.3% . Conclusions: Angina is the main clinical manifestation and coronary aogiography is the accurate diagnosis method. Long - term application of anticoagulant agents should be used to prevent myocardial infarction. If acute myocardial infarction occurs, prompt thrombolysis should be used; if it is ineffective, coronary artery bypass graft should be carried out. Stents with membranes should be put into the coronary arteries which dilatd more apparently to prevent the rupture of coronary aneurysm.