摘要
目的:探讨冠状动脉造影阳性病例的临床特点,并对造影结果进行详细的总结。方法:对225例冠状动脉造影阳性者进行了回顾性研究分析。结果:本组男性197人,女性28人。合并高血压病、高脂血症及糖尿病者,分别为74.67%、44.44%和24.0%。典型胸痛、不典型胸痛及无胸痛者分别为60.0%、18.22%和21.18%。胸片、心脏超声、心电图及肾功能异常者分别为77.78%、100%、100%和23.56%。冠状动脉造影显示:冠脉为右优势分布者144例,占64.0%,左优势分布者27例,占12.0%,均衡型分布者54例,占24.0%。病变累及冠脉446支共651处,单支病变36.89%、二支病变32.89%、多支病变30.22%,受累的前降支(LAD)、右冠状动脉(RCA)、左回旋支(LCX)及左主干(LM)分别为70.67%、52.0%、39.1%和10.67%。A型病变累及冠脉163支213处(29.74%)、B型病变累及冠脉207支229处(37.78%)、C型病变累及冠脉178支184处(32.48%),重度以上狭窄占80.44%。78例(34.67%)有不同程度的侧支循环。结论:冠状动脉造影阳性的病人,多合并危险因素,临床表现复杂,临床检查多有异常,冠脉分布以右优势型居多,多支病变占30.0%以上,B型及C型病变占大多数、冠脉狭窄程度较严重,部分病例有不同程度的侧支循环。
Objective： To explore the clinical characteristics of cases of positive coronary angiography（CAG） and summarize the results of CAG detailedly. Methods：Retrospective analysis was performed in 225 patients of positive CAG. Results： 197 of 225 the patients were men, 28 of 225 the patients were women. The history of hypertension, hyperlipidemia, diabetes meUitus, accounted for 74.67%,44.44%, 24.40% of 225 total cases respectively. Those with typical chest pain,atypical chest pain and no chest pain accounted for 60.0%,18.22% and21.18% respectively. Abnormal chest X-ray, echocardiography, electrocardiogram and kidney function were found in 77.78%,100%,100% and 23.56% of the total cases respectively CAG showed that the right coronary artery（RCA） dominated distribution were 144cases （64.0%）,the left coronary artery（LCA）dominated were 27 cases （12.0%）,and the balanced were 54eases （24.0%）.CAG showed that there were 446 stenotic coronary arteries with 651 target lesions in the patients, including 213 （29.74%）type A lesions in 163 branches, 229（37.78%） type B lesions in 207 branches and 184（32.48%）type C lesions in 178 branches. Narrowness with the single branch lesion,two-branch lesion and multiple branch lesions accounted for 36.89%, 32.89% and 30.22% respectively,the frequency of involved vessels detected on angiograms ranked in descending order, as LAD,RCA,LCX and LM, accounted for 70.67%,52.0%, 39.1% and 10.67% respectively ,and seriously narrowed lesions accounted for 80.44%.Different degree of collateral circulation was found in 78 cases （34.67%）. Conclusions：Most of the patients of positive CAG had more risk factors,the clinical feature was complicated,and the clinical examination were often abnormal The distribution of coronary artery was often RCA dominated Multiple branch lesions were involved in patients over 30.0%,the degree of narrowness was often severe. The type B and type C lesion, were found.
出处
《中国医药导刊》
2010年第5期760-762,共3页
Chinese Journal of Medicinal Guide
关键词
冠状动脉疾病
冠状动脉造影
罪犯血管
Coronary heart disease
Coronary angiography
Culprit artery
