心肌桥-壁冠状动脉41例临床分析  

Clinical analysis of 41 cases of myocardical bridge-mural coronary artery

作　　者：王清辉[1] 徐丽英[1] 

机构地区：[1]大同市第四人民医院,山西大同037008

出　　处：《基层医学论坛》2017年第2期147-148,共2页The Medical Forum

摘　　要：目的观察分析心肌桥-壁冠状动脉的临床特点。方法回顾性分析41例心肌桥-壁冠状动脉患者的冠状动脉CT及临床资料,所有患者均给予地尔硫■治疗。结果 41例患者均有胸闷、心悸等心绞痛症状,心电图有心肌缺血表现;CT显示41例心肌桥-壁冠状动脉患者中,浅表型22例,深在型19例。经给予地尔硫■后,40例患者症状有明显缓解,总有效率为97.6%。结论应用多层螺旋CT可明确诊断心肌桥-壁冠状动脉,使用地尔硫■可明显改善患者的临床症状。Objective To investigate the clinical characteristics of myocardical bridge-mural coronary artery （MB-MCA） and assess the effect of diltiazen. Methods Retrospective analysis of the clinical data and 64 row-sprial CT coronary artery imaging of 41 patients with MB-MCA, all patients were given dihiazem. Results 41 patients had chest tightness, heart palpitations and other clinical manifestations of angina, ECG showed myocardial ischemia, CT showed that 41 patients with MB-MCA. Superior MB-MCA and deep MB-MCA cases were 22 cases and 19 cases respectively. After giving dihiazem 15-30mg, the symptoms of 40 patients were obviously alleviate, the total effective rate was 97.6%. Conclusion The application of multi-slice spiral CT in diagnosis of myocardial bridge mural coronary artery, the use of dihiazem has significantly improved the clinical symptoms of the patients

关 键 词：心肌桥-壁冠状动脉 临床特点 多层螺旋CT 地尔硫[艹卓] 

分 类 号：R541[医药卫生—心血管疾病]