冠状动脉造影及介入治疗选择的临床决策  

Clinical Strategies of the Use of Coronary Angiography and Percutaneous Coronary Intervention

作　　者：丁彦[1] 刘波[1] 罗东雷[1] 

机构地区：[1]承德市中心医院,河北承德067000

出　　处：《医学与哲学（B）》2013年第5期26-28,共3页Medicine & Philosophy(B)

摘　　要：冠心病是当今威胁人类健康的重要疾病之一,其主要病理生理机制是冠状动脉狭窄或闭塞所致的心肌缺血或坏死。目前,冠状动脉造影(CAG)及经皮冠状动脉介入治疗(PCI)已广泛应用于冠心病的确诊和治疗,众多患者为之受益。然而,我们也发现其中部分患者可能不必要接受CAG,或CAG后可能不必要或不宜接受PCI。鉴于此类技术的有创性、风险性、高费用等因素,同时为避免过度诊疗,充分评估已知冠心病介入治疗的选择及未知胸痛或其他情况CAG的选择,正确进行临床决策十分必要。Coronary artery disease （CAD） is so far one of the vital diseases to influence the health of human beings. The primary mechanism in pathology and physiology is the myocardial ischemia and infarction caused by the stenosis and occlu- sion of coronary artery. At present,coronary angiography（CAG） and pereutaneous coronary intervention（PCI） have been widely used in CAD for definite diagnosis and treatment, many patients benefited from them. However, we found that it might not be necessary for some of the patients to be taken CAG, or PCI after CAG. In view of its injuries, risks and ex- pensiveness, so as not to make an excessive medical examination and treatment, it is very essential to make a full evaluation before PCI on a clear CAD and CAG on an unclear chest pain or other signs, so as to make a proper clinical decision.

关 键 词：冠状动脉造影 经皮冠状动脉介入治疗 临床决策 

分 类 号：R541.1[医药卫生—心血管疾病]