冠心病病人球结膜微血栓与病情关系的观察

作者对１８０例冠心病病人球结膜微循环进行了观察，发现有微血栓者占２３．９％。分阶段地将有微血栓、无微血栓的冠心病病人及正常人三者进行对照，并对有微血栓的冠心病病人作了肝素或丹参治疗前后的对比观察。

Microthrombi in coronary heart disease

f 180 patietns with coronary heart disease (CHD)43 (23. 9 %) showed in microthrombi coujunctival mi-crocirculation. We compared the healthy subjects withthe patients with microthrombi and thrombi-free as wellas with the patients with microthrombi pre and post-treatment of heparin or salvia mihiorrhizae. The forma-tion and the number of microthrombi in the CHD pa-tients were closely related to symptonis, ECGS, plasmaTXB2, 6-kero-PGFla and other indexes on hemody-namics. Followup of the patients with microthrornbi re-vealed that their death rate was higher than that ofCHD patients without microthrombi, especially in thesudden deaths. We consider that microthrornbi may beregarded as an important index of the state. therapeuticefficacy, and prognosis of the CHD patients. The use ofheparin niay certainly be based on the condition of themicrothrombi in the microcirculation of CHD patients.