冠状动脉瘤样扩张的临床特点  

Clinical characteristics of coronary aneurysm

作　　者：史冬梅[1] 张维君[1] 房芳[1] 吕树铮[1] 洪昭光[1] 

机构地区：[1]北京安贞医院老年心内科,100029

出　　处：《中华心血管病杂志》2002年第1期49-51,共3页Chinese Journal of Cardiology

摘　　要：目的　探讨冠状动脉瘤样扩张的临床特点及治疗方法。方法　对冠状动脉造影发现的1 86例冠状动脉瘤样扩张患者询问胸痛病史 ,检查心电图、X线胸片、超声心动图、冠状动脉造影等 ,并对治疗方法与结果做回顾性总结分析。结果　冠状动脉瘤样扩张表现为心绞痛的病例有 1 4 7例 ,占79 0 % ,心电图、X线胸片、超声心动图均无特异性 ,1 86例均由冠状动脉造影确诊。结论　心绞痛为冠状动脉瘤样扩张的主要临床表现 ,冠状动脉造影是确诊的主要方法。本病一旦确诊应积极、长期使用抗凝剂和血管扩张药物 ,防止冠状动脉痉挛与心肌梗死的发生。急性心肌梗死应积极溶栓 ,药物治疗不满意者 。Objective To investigate the clinical characteristics and therapeutic methods of coronary aneurysm. Methods We retrospectively analyzed 186 cases with coronary aneurysm proved by angiogram and summarized the characters of symptoms and signs, diagnostic means and treatment Results There were 147 patients presenting angina, accounting for 79 0%, but no specific manifestations in electrocardiogram, X ray and echocardiogram Conclusions Angina is the main clinical manifestation and coronary angiogram is the accurate diagnosis method Long term application of anticoagulant agent and vasodilator should be used to prevent coronary spasm and myocardial infarction If acute myocardial infarction occurs, prompt thrombolysis should be used; if it is ineffective, coronary artery bypass graft should be carried out

关 键 词：冠状动脉瘤样扩张 不稳定型心绞痛 临床特点 治疗方法 

分 类 号：R541.4[医药卫生—心血管疾病]