308例胸痛患者冠状动脉造影结果分析  

Coronary Angiographic Findings in Patients with Chest Pains:A Report of 308 Cases

作　　者：何元军 范中才[2] 

机构地区：[1]四川省遂宁红十字医院,四川遂宁629000 [2]泸州医学院附属医院心内科,四川泸州646000

出　　处：《华西医学》2005年第4期693-694,共2页West China Medical Journal

摘　　要：目的:探讨行冠状动脉造影的住院胸痛患者中冠心病的患病率及冠心病患者冠状动脉病变的特点。方法:对因胸痛在我院心内科接受冠状动脉造影的连续308例患者的造影结果进行分析。结果:308例胸痛患者中130例诊断为冠心病,患病率42.21%。其中60岁及以上的老年人占66.16%,男性患病率明显高于女性(P<0.01)。病变血管以LAD最为常见,占40.31%。分叉病变占非完全闭塞性病变患者的44.12%。完全闭塞性病变患者28例,其中一支血管闭塞的患者23例,两支5例。单支、双支和3支血管病变分别为64例、41例和25例,分别占冠心病患者的49.23%、31.54%和19.23%。冠状动脉最狭窄病变狭窄程度越重,其两支及多支血管病变以及合并左主干病变的发生率越高。101例(77.69%)冠心病患者需要行血运重建治疗。结论:冠心病是行冠状动脉造影的住院胸痛患者中首要病因。大多数冠心病患者需要行血运重建治疗。对住院胸痛患者,尤其对具有冠心病易患因素的老年男性应常规行冠状动脉造影。Objective： To investigate the prevalence rate of coronary artery disease （CAD） in hospitalized patients with chest pains and the characteristics of coronary lesions in patients with CAD. Methods： Coronary angiography was performed on 308 consecutive cases suffering from chest pain. Rssults： The prevalence rate of CAD in patients with chest pains was 42.21% （130）. CAD was significantly more common in men than women （ P 〈 0.01 ）. LAD lesions was significantly most common than other vessels （ P〈0.01）. Total occlusion （100% stenosis） was seen in 28 patients. One - , two - and three - vessels diseases were present in 64 （49.23% ）, 41 （31.54% ）, 25 （ 19.23% ） patients respectively. 101 （77.69） patients needed revascularization treatment. Conclusion： CAD is the first etiological factor in patients with chest pain. Revascularization treatment is needed in the majority of the CAD patients Coronary angiography should routinely be performed on the hospitalized patients with chest pain.

关 键 词：冠心病 冠状动脉造影术 

分 类 号：R541.4[医药卫生—心血管疾病]