潘生丁-201铊显像在老年人中的应用  

THE APPLICATION OF DIPYRIDAMOLE-THALLIUM-201 SCINTIGRAPY IN THE ELDERLY

作　　者：杨一峰[1] 诸骏仁[1] 陈灏珠[1] 钱忠豪[1] 蒋长英 施慧芳 

机构地区：[1]上海医科大学附属中山医院 [2]上海市心血管研究所 [3]上海医科大学附属肿瘤医院 [4]上海市静安区张家宅地段医院

出　　处：《上海医学》1988年第5期271-273,共3页Shanghai Medical Journal

摘　　要：对13例老年人作潘生丁-201铊(201T1)心肌灌注显像。静脉注射潘生丁(60mg/kg)后,201T1显像发生三种变化:1.潘生丁对201T1显像无影响——3例摄取铊正常,6例呈持续性缺损;2.药物相缺损而重分布相时缺损区再充盈,共2例;3.逆转型反应(“冠状动脉偷窃现象”),共2例。本文表明潘生丁-201T1显像是一种适用于老年人的早期诊断冠心病的非侵入性方法。Thirteen elderly subjects were investigated by dipyridamole-thallium-201 myocardial perfusion imaging.After dipyridamole(60 mg/kg,iv),the T1-201 imaging showed three types of changes:1.A normal T1-201 uptake(3 patients)or merely a persistent defect(6 patients),denoting dipyridamole had no action;2.A defect appeared but redistributed at rest(2 patients);3.A paradoxical response——coronary steal(2 patients).The results showed that dipyridamole-thallium-201 imaging is a noninvasivo diagnostic method for the early diagnosis of coronary artery disease in the elderly.

关 键 词：潘生丁 静脉注射 药物 显象 哌醇啶 心肌灌注显像 冠状动脉 老年人 

分 类 号：R54[医药卫生—心血管疾病]