| 冠状动脉造影正常的青年急性心肌梗死临床分析 |
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| 引用本文： | 曹俊杰,李燕,侯蕊,赵兴佳,卢竞前.冠状动脉造影正常的青年急性心肌梗死临床分析[J].河北医学,2006,12(9):902-904. |
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| 作者姓名： | 曹俊杰 李燕 侯蕊 赵兴佳 卢竞前 |
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| 作者单位： | 承德医学院附属医院老年病科,河北,承德,067000;河北省承德钢铁公司职工医院,河北,承德,067001;云南省第二人民医院,云南,昆明,710000 |
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| 摘 要： | 目的:探讨青年急性心肌梗死患者冠状动脉造影正常的发生率,并分析其临床特点。方法:回顾分析了1995年5月至2005年10月436例AM I患者冠状动脉造影结果及有关冠心病的危险因素。结果:436例中青年AM I冠脉造影正常者为8例,分析其临床特点,该组多无心绞痛、高血压病、糖尿病及血脂异常史,大量吸烟者居多。结论:在冠脉造影正常的青年AM I中,冠脉痉挛在心肌梗死的发病中可能起着十分重要的作用;急性血栓形成伴血栓自溶亦是其病理改变之一。
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| 关 键 词： | 急性心肌梗死 冠状动脉痉挛 冠状动脉造影 |
| 文章编号： | 1006-6233（2006）09-0902-03 |
Clinical Analysis of Normal Coronary Arteriography with Younger Acute Myocardial Infarction |
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| CAO Jun-fie, LI Yan, HOU Rui, et al.Clinical Analysis of Normal Coronary Arteriography with Younger Acute Myocardial Infarction[J].Hebei Medicine,2006,12(9):902-904. |
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| Authors: | CAO Jun-fie LI Yan HOU Rui |
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| Institution: | Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000, China |
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| Abstract: | Objective:To investigate the morbidity rate and clinical characteristics of young acute myocardial infarction(AMI) with normal coronary angiograms (CAG).Method:The results of CAG and some correlated risk factors in 436 patients with AMI enrolled from May 1995 to Oct.2005 were analysed.Result:The younger patients with AMI and normal CAG accounted for 8 patients ,most of whom were somkers,but free of angina pectoris,hypertension,diabetes millitus and hyperlipidemia.Conclusion:CAG negative is not infrequent in patients with AMI.The results indicate that coronary artery spasm play an important role in AMI with normal CAG, Acute thrombosis and auto-thromobolysis is also one of the pathologic changes. |
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| Keywords: | Acute myocardial infarction Coronary artery spasm Coronary arteriography |
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