| 女性高血压伴胸痛患者临床与冠状动脉造影分析(附77例报告) |
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| 引用本文： | 徐冬梅,范崇伦,石理,王婷,陈泗林,李光,耿庆山. 女性高血压伴胸痛患者临床与冠状动脉造影分析(附77例报告)[J]. 中国综合临床, 2001, 17(10): 743-744 |
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| 作者姓名： | 徐冬梅 范崇伦 石理 王婷 陈泗林 李光 耿庆山 |
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| 作者单位： | 1. 山东省济南市第三人民医院内科
2. 广东省人民医院心血管病研究所 |
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| 摘 要： | 目的 了解女性高血压伴胸痛的临床诊断方法。方法 回顾性分析77例女性高血压伴胸痛患者诊断为冠心病、冠状动脉造影（CAG）检查的临床资料。冠心病组34例：冠脉造影血管狭窄≥75％或50％－75％且临床有心肌缺血证据;对照组43例：CAG结果除外冠心病。并对有关冠心病的危险因素与临床特点进行比较。结果 两者之间临床上较难鉴别,但动态心电图与典型心绞痛可高度提示冠心病的可能。结论 确诊冠心病仍需进行CAG。
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| 关 键 词： | 高血压 胸痛 冠状动脉造影 女性 病例报告 诊断 动态心电图 冠心病 |
| 文章编号： | 1008-6315(2001)10-0743-02 |
| 修稿时间： | 2001-04-04 |
Clinical analysis and coronary angiography of female hypertension with chest pain |
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| Xu Dongmei,Chen Silin,Fan Chonglun,et al.. Clinical analysis and coronary angiography of female hypertension with chest pain[J]. Clinical Medicine of China, 2001, 17(10): 743-744 |
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| Authors: | Xu Dongmei Chen Silin Fan Chonglun et al. |
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| Affiliation: | Xu Dongmei,Chen Silin,Fan Chonglun,et al.Department of Internal Medicine,the Third People's Hospital of Jinan,Shandong Province250101 |
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| Abstract: | Objective to investigate the clinical diagnosis of female hypertension with chest pain.Methods The clinical coronary angiography data of 77 female cases of hypertension with chest pain diagnosed as coronary heart diseased (CHD) and angina pectoris were analysed retrospectively.The comparison of the risk factors and clinical features in the two groups was made.Results Clinically,it was difficult to differentiate hypertension with chest pain and coronary heart failure,but dynamic EDG and typical angina pectoris suggested the possibility of coronary heart disease.Conclusion Coronary angiography is still essential to diagnose CHD. |
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| Keywords: | Hypertension Chest pain Coronary angiography |
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