基层医院开展冠状动脉造影的可行性研究(附40例临床分析)

目的：探讨基层医院开展冠状动脉造影术（CAG）的可行性。方法：对40例采用Judkin法冠状的动脉造影的结果回顾性分析。结果：40例病人确衣为冠心病（CHD）30例，单支病变13例，双支病变10例，三支病变7例，30例病人共58例病变，其中A型病变29外，B超病变15处，C型病变14处，9例病人穿刺部位少量皮下出血或小血肿，自然吸收，无1例冠脉并发症，1例病人发生造影剂肾损害，无1例死亡。结论：县级医院开展CAG是可行的，但应充分预测其风险性，并做相应的抢救措施。

CLINICAL ANALYSIS OF 40 CASES OF CORONARY ARTERIOGRAPHY TREATED IN COUNTY HOSPITALS

Objective To evaluate the feasibility of carrying out coronary arteriography(CAG) in county hospitals.Methods The clinical materials of coronary arteriography in 40 cases through Judkins method were respectively analyzed.Results Of the 40 patients,30 were diagnosed as coronary heart disease(CHD),13 cases as monobranched lesion,10 cases as double lesion and 7 cases as triple lesion.58 coronary lesions were discovered in 30 cases of CHD,including 27 cases of Type A,15 cases of Type B and 14 cases of Type C.A bit of bleeding in the puncture sites and small hematoma occurred in 9 cases.Renal damage associated with contrast medium happened in one case.No related complications and death occurred.Conclusion CAG has proven to be feasible in county hospitals,but preventive and emergency measures should be available in doing so.