药物治疗自发性冠状动脉夹层痊愈3例报告  

Three cases of successful medical management of spontaneous coronary artery dissection

作　　者：祝孝勇 姜醒华[1] 姜宇[1] 程晓曙[1] 龚韧[1] 游志刚[1] 

机构地区：[1]南昌大学第二附属医院心内科,南昌330006

出　　处：《临床心血管病杂志》2017年第5期499-502,共4页Journal of Clinical Cardiology

摘　　要：1病例资料患者1,女性,58岁,因＂反复胸闷、气促4年,胸痛5d＂于2016年6月8日入院。患者于2016年6月3日晚上9点无明显诱因突发心前区疼痛,呈烧灼样,手掌范围大小,向左上肢、颈项部、后背放射,伴恶心、呕吐,无心悸、黑朦、晕厥,急送至弋阳县人民医院就诊,给予＂控制血压、扩张冠脉＂（具体不详）等处理后疼痛缓解,期间疼痛共持续1h左右。Spontaneous coronary artery dissection （SCAD） is gaining recognition as an important cause of myocardial infarction, especially in young women. The optimal management of SCAD remains undetermined be cause no randomized trials have compared medical therapies or revascularization strategies. Here we reported 3 ca ses of successful medical management of SCAD, suggesting that medical management approach may be the most appropriate strategy in patients with SCAD, except for patients with unstable symptoms, hemodynamic instabili ty, or left main dissection.

关 键 词：冠状动脉夹层 自发性 药物治疗 经皮冠状动脉介入治疗 冠状动脉旁路移植术 急性冠脉综合征 

分 类 号：R541.4[医药卫生—心血管疾病]