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目的 :为了解冠状动脉病变部位、范围及程度 ,对西宁地区 (海拔 2 30 0m) 30例患者进行选择性冠状动脉造影 ,以指导临床对冠心病治疗并估计预后 ;方法 :对我院 30例不同诊断采用Judkins法作左、右冠状动脉造影 ;结果 :冠状动脉正常 19(19/ 30 )例 ,冠状动脉狭窄 >90 % 8例 ,>5 0 %～ 70 % 4例 ,2支以上病变 3例 ,X综合征 1例 ;结论 :通过冠脉造影 ,对以往临床无创性检查及诊断得到了进一步证实 ,对冠状动脉多支病变预后较差者采取冠脉旁路术 ,单支病变做经皮冠状动脉内成形术 (PTCA)及置入支架术 ,达到预期效果
Objective: To understand the location, extent and extent of coronary lesions in 30 patients in Xining (230 m altitude) with selective coronary angiography to guide the clinical treatment of coronary heart disease and estimate the prognosis.Methods: 30 cases of our hospital The left and right coronary angiography were performed by Judkins method in different diagnosis. Results: Coronary normal 19 (19/30), coronary artery stenosis 90% 8 cases,> 50% ~ 70% 4 cases, more than 2 lesions 3 Cases, syndrome X 1 cases; Conclusion: Coronary angiography, the past clinical noninvasive examination and diagnosis has been further confirmed by the coronary artery multi-vessel lesion prognosis worse coronary artery bypass surgery, single-vessel disease do Coronary angioplasty (PTCA) and stent placement, to achieve the desired results