冠心病的DSA诊断及临床资料对比分析(附53例报告)  

A Comparative Analysis of Digital Subtraction Coronary Angiography Diagnosis and Clinical Data in Coronary Heart Diseases (An Analysis of 53 cases)

作　　者：朱晓黎[1] 倪才方[1] 丁乙[1] 陈学仁[1] 

机构地区：[1]苏州医学院附属第一医院,215006

出　　处：《医学影像学杂志》1998年第1期7-10,共4页Journal of Medical Imaging

摘　　要：目的：研究冠心病的DSA诊断价值并与临床资料作对比分析。材料与方法：对53例冠心病行选择性冠状动脉DSA及心电图、扇超和24小时动态心电图检查。结果：53例冠心病中冠脉狭窄共累及血管61支，其中前除支38支、回旋支10支、右冠8支、左冠主干5支。心电图有ST－T段改变或有心肌梗塞者40例，24小时动态心电图提示ST-T段改变且有偶发房早或室早者48例，且狭窄组提示24小时动态心电图均有改变。扇超示左室顺应性下降者37例，左室平均射血分数51．43±13．74％。结论：对冠心病行冠状动脉DSA结合临床资料分析是准确判断冠状动脉狭窄部位、程度及心室功能改变情况的重要诊断手段。Purpose:To evaluate the diagnosis value of digital substraction coronary angiography and have acompartive analysis of clinical data in coronary heat diseases (CHD). Materials and Methods:In 53 cases of CHD,selective digital subtraction coronary arteriography/ electrocardiographic examination/two -dimensional echocardiographic examination and Holter examination were per formed. Results:Of the 53 cases of CHD, 61 arteries werestenosis including left anterior descending 38, 4rcumnex 10, right coronary 8 and left main tfrunk 5. In 53 cases ofCHD. the manifestations of ST segment and T wave changes or myocardial infarction of electrocardiogram werefound in 40 cases. Holter discovered ST segment and Twave changes which compariied with premature atrial or ventriculat beats in 48 cases,all in narrow group had ebnormal changes of Holter,two-dimensional echocardiographysuggested left ventricular compliance decreasing in 37 cases. Left ventricular average ejeiction fraction was 51. 43±13. 73%. Conclusion: digital pubtraction coronary arteriography combine with analysis of clinical data of CHDplayed an important role in the diagnosis of the stenosis site,degree and changes of ventricular function.

关 键 词：对比分析 冠心病 DSA诊断 24小时动态心电图 动态心电图检查 动脉DSA 临床资料分析 左室顺应性 诊断价值 冠脉狭窄 心肌梗塞 射血分数 狭窄部位 冠状动脉 诊断手段 功能改变 前降支 回旋支 ST 

分 类 号：R541.4[医药卫生—心血管疾病] R732.21[医药卫生—内科学]