糖尿病人^(99m)Tc-MIBI心肌灌注显象分析  

^(99m)TcMIBI MYOCARDIAL PERFUSION IMAGING IN PATIENTS WITH DIABETES

作　　者：梁昌华 钟慧菊 刘宇 胡硕 

出　　处：《湖南医科大学学报》1997年第6期523-525,共3页Bulletin of Hunan Medical University

基　　金：湖南省科委科研基金

摘　　要：对７４例糖尿病人９９ｍＴｃ－ＭＩＢＩ（甲氧基异丙基异腈）ＳＰＥＣＴ运动和静息心肌灌注显象进行分析。结果发现：４４例（５９．５％）患者心肌有供血改变，其中心肌缺血２８例，心肌梗塞７例，心肌梗塞并缺血９例；心肌受损部位下壁占４６％（５２个）；合并有高血压、高血脂时的糖尿病人冠心病发生率高于单纯糖尿病人。９９ｍＴｃ－ＭＩＢＩ心肌显象可早期发现糖尿病人并发冠心病，对糖尿病的治疗和预后有重要意义。eventy-four patients with diabetes were taken on both stress and rest ^(99m)TcMIBI SPECT imaging: 44 patients(59.5%) were found having myocardial ischemic disorders, including 28 cases of myocardial ischemia, 7 cases of myocardial infarction and 9 cases of both conditions. 113 segments were involved and 46% were located in the posterior and inferior walls, indicating that the right coronary artery is most susceptive to ischemia. Diabetic patients complicated hypertension and/or hyperlipidemia were at higher risk of either early occurrence of coronary disease. 99mTcMIBI SPECT imaging is helpful in early diagnosis and therefore is significant in directing.

关 键 词：糖尿病 并发症 冠心病 心肌显象 SPECT 

分 类 号：R587.2[医药卫生—内分泌] R541.4[医药卫生—内科学]