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心肌梗塞冠状动脉造影所见与临床联系
引用本文:祁述善. 心肌梗塞冠状动脉造影所见与临床联系[J]. 中南大学学报(医学版), 1987, 0(4)
作者姓名:祁述善
作者单位:湖南医学院第二附属医院内科
摘    要:本文对11例心肌梗塞冠状动脉造影所见与临床表现作对照分析。冠状动脉病变分布较广泛,大多数病例仍适合作“搭桥”手术。第四心音与左室功能损害及室壁的顺应性差有关。心电图诊断为前间壁或下壁心肌梗塞时,推测其主要梗塞相关动脉分别为左前降支或右冠状动脉。

关 键 词:心肌梗塞  冠状动脉疾病  冠状血管  血管造影术  诊断

CORONARY ARTERIOGRAPHIC AND CLINICAL CORRELATIONS DURING MYOCARDIAL INFARCTION
Qi Shushan. CORONARY ARTERIOGRAPHIC AND CLINICAL CORRELATIONS DURING MYOCARDIAL INFARCTION[J]. Journal of Central South University. Medical sciences, 1987, 0(4)
Authors:Qi Shushan
Affiliation:Qi Shushan Department of Medicine,The Second Affiliated Hospital,Hunan Medical College
Abstract:Eleven cases of myocardial infarction are reported.Coronary arteriography was performed during acute stage in 3 cases,subacute stage in 3 cases end chronic stage in 5 cases.There were two cases complicated hyperlipemia and none of them complicated diabetes.There were three diseased arteries in 9 cases,one and two diseased arteries in 1 case respectively,9 cases had narrowing left main coronary artery.In all the cases,there were 7 cases suitable for bypass surgery.Fourth heart sound correlated with damage of left ventricular function and compliance.It was found that in anteroseptal or inferior myocardial infarction,left anterior descendingartery or right coronary artery was main infarct-related artery respectively.
Keywords:Myocardial infarction  Coronary disease Coronary vessels Angiography Diagnosis
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