摘要
为了估计体外反搏对冠心病的治疗价值,对2例稳定型心绞痛患者(病程分别为10年和3年),在反搏前后进行冠状动脉(以下简称冠脉)造影,观察冠脉侧支循环的变化。例1于1986年5月31日造影示三支病变,狭窄程度:前降支90%,回旋支99%,右冠脉3处狭窄均为75%,伴少量侧支。经每天1h(共87h)反搏后,在同一医院于1986年9月13日进行第二次造影,前后对比三支狭窄程度无改变,但增加许多网状侧支循环。例2第一次冠脉造影示三支病变,狭窄程度前降支为75%,回旋支75%,右冠脉90%。立即进行体外反搏94h后,第二次冠脉造影,前后对比狭窄处无明显改变,侧支增加。
In order to assess the therapeutic effect of external counterpulsation (ECP) in coronary heart disease, coronary angiography was performed before and after ECP to observe the development of collateral circulation in 2 patients with stable angina pectoris. Case 1. Pre-ECP coronary angiographywas performed on May 31, 1986 and showed stenosis of 3 vessels to the extents of 90%, 99% and 75% in LAD, LCX and RCA respectively with few collaterals. After 87 one-hr sessions of ECP, post-ECP coronary angiography was immediately performed in the same way on Sept. 13, 1986. In comparison with the pre-ECP coronary angiograms, no change in the narrowing of LAD, LCX and RCA, but numerous reticular collateral circulation was observed. Case 2. After 94 one-hr sessions of ECP, the post coronary angiography showed an increase of collaterals with no change in the 3 stenosed coronary arteries. The mechanism of development of collateral vessels by ECP was discussed.
出处
《中国循环杂志》
CSCD
1991年第1期28-29,共2页
Chinese Circulation Journal
关键词
冠心病
体外反膊
冠状动脉造影
External counterpulsation
Coronary angiography
Collateral circulation
