364例选择性冠状动脉造影分析

目的 对364例选择性冠状动脉造影(CAG)的冠脉形态进行分析，探讨血管病变与冠心病严重程度的关系。方法 用Judkins法对364例临床疑冠心病患者分别行选择性左，右冠状动脉造影及左心室造影、观察并记录冠状动脉病变血管的分布、部位、程度、范围、形态、长度、血运情况、左室收缩功能的改变。结果 364例经CAG发现病变血管553支。左心室造影282例，异常73例，29例出现室壁瘤。结论 CAG目前仍是诊断冠状动脉有否病变的“金标准”；对指导临床治疗有重要作用。

The Analysis of 364 Cases Selective Coronary Arteriography(CAG)

objectives To explore the relationship between severity of coronary heartdisease and damage of blood vessels according to 364 cases selective coronary arteriography.Methods 364 cases who were suspended coronary heart disease accepted selective left and rightcoronary arteriography and left ventriculography. The distribution site, region, shape, length,bloods tream of pathological blood vessels and systolic function of left ventricle was observedand recorded. Results 553 branches of pathological blood vessels was found among 364 casesCAG.73 cases abnormality and 29 cases ventricle aneurysm. were found among 282 cases leftventriculography. Conclusions CAG is still the golden standard for the diagnosis of coronaryheart disease. It plays an important role in guiding treatment in clinic.