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目的探讨冠状动脉造影术在冠心病诊断中的价值及相关并发症。方法采用seld inger法穿刺右侧股动脉或右侧桡动脉,采用Judk ins法行多角度、多方位选择性冠状动脉造影。结果315例患者冠状动脉造影阳性181例(57.5%)。该181例中受累部位前降支141例(77.9%),右冠状动脉82例(45.3%),左回旋支68例(37.6%),左主干3例(1.7%);累及单支血管病变104例(57.5%)、2支血管病变40例(22.1%)、3支血管病变37例(20.4%)。发现15例单发心肌桥,5例冠心病合并心肌桥,心肌桥发生率6.3%。1例(0.3%)冠心病合并冠状动脉瘤样扩张。出现1例(0.3%)尖端扭转型室速,1例(0.3%)腹膜后大量出血,1例(0.3%)右冠状动脉近段夹层,2例(0.6%)右侧股动脉穿刺处假性动脉瘤,11例(3.5%)血管迷走反射,皆给予相应处理后治愈,无不良后果。结论冠状动脉造影术为冠心病诊断金标准,它操作简便、创伤小、安全可靠,并指导治疗,有条件的医疗单位应积极开展。
Objective To investigate the value of coronary angiography in the diagnosis of coronary heart disease and related complications. Methods The seldinger method was used to puncture the right femoral artery or the right radial artery. The Judk ins method was used to perform multi-angle and multi-directional selective coronary angiography. Results 315 cases of coronary angiography positive 181 cases (57.5%). There were 141 cases (77.9%) of the anterior descending coronary artery in the 181 cases, 82 cases (45.3%) of the right coronary artery, 68 cases (37.6%) of the left circumflex artery and 3 cases (1.7%) of the left main trunk. 104 cases (57.5%), 2 vascular lesions in 40 cases (22.1%), 3 vascular lesions in 37 cases (20.4%). 15 cases of single myocardial bridge were found, 5 cases of coronary heart disease with myocardial bridge, the incidence of myocardial bridge 6.3%. One patient (0.3%) had coronary artery aneurysm-like dilatation. One case (0.3%) had torsades de pointes, one case (0.3%) had massive retroperitoneal hemorrhage, one case (0.3%) had proximal coronary artery dissection, and two cases (0.6% Vagina aneurysm, 11 cases (3.5%) vasovagal reflex, were given the appropriate treatment after treatment, no adverse consequences. Conclusion Coronary angiography is the gold standard for the diagnosis of coronary heart disease. It is simple in operation, less traumatic, safe and reliable, and guides the treatment. The qualified medical units should carry out actively.