冠状动脉造影正常的胸痛患者病因分析  

Cause Analysis of the Chest Pain in Patients with Normal Coronary Angiography

作　　者：郭雨青[1] 

机构地区：[1]广东药学院附属第一医院,广州510080

出　　处：《现代生物医学进展》2008年第4期683-685,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨冠状动脉造影正常的胸痛患者的病因及其临床特征。方法:对49例临床拟诊冠心病而冠状动脉造影正常的胸痛患者的临床特征进行回顾性分析,为胸痛的临床诊断提供思路。结果:最后诊断:急性心肌梗死1例(2.04%);冠心病心绞痛10例(20.45%);高血压病12例(24.49%);心律失常8例(16.33%);糖尿病6例(12.24%);X综合症7例(14.29%);急性胆囊炎2例(4.08%);急性胰腺炎2例(4.08%);反流性食管炎1例(2.04%);颈椎病2例(4.08%)。结论:冠状动脉造影正常的胸痛患者并不能完全排除冠心病,要考虑心外病变、非冠心痛性器质性心脏病和X综合症等众多的影响因素。Objective： To investigate the chest pain cause and clinical features in patients with normal coronary angiography. Methods： 49 patients suspected coronary heart disease with normal coronary angiography were analyzed retrospectively. Results： The final diagnoses were listed as follows： 1 case of acute myocardial infarction （2.04 % ）, 10 cases of angina of coronary heart disease （20.45 %）, 12 cases of hypertension （24.49 %）, 8 cases of arrhythmia（16.33 %）, 6 cases of diabetes （12.24 %）, 7 cases of X syndrome （ 14.29 %）, 2 cases of acute cholecystitis （4.08 %）, 2 cases of acute pancreatitis （4.08 %）, 1 cases of reflux esophagitis （ 2.04 %）, 2 cas- es of cervical spondylosis （4.08 %）. Conclusion： Coronary heart disease cannot be completely ruled out in the patients with chest pain and normal coronary angiography. It is necessary to consider a number of factors including nonorganic heart disease and X syndrome.

关 键 词：冠状动脉造影 胸痛 病因 

分 类 号：R816.2[医药卫生—放射医学]