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国外自1958年开展选择性冠状动脉造影(下称SCA),现已施行数十万例次。根据大量资料分析,它是目前诊断冠状血管病变最可靠的方法。国内自1973年起先后在上海、北京、广州、济南(笔者,1979年)、苏州和西安等地开展SCA,迄今约300例。检查的成功率和并发症取决于检查工具和插管技术的熟练程度。一、SCA操作方法目前一般采用两种方法:一是宋氏(Sone,1959年)法,从上肢肱动脉插入一条特制导管,分别插入左、右冠状动脉;二是杰金氏(Judkin 1967年)法,经皮穿刺从下肢股动脉插入不同类型
Overseas since 1958 to carry out selective coronary angiography (SCA), has now been implemented hundreds of thousands of times. According to a large number of data analysis, it is currently the most reliable method of diagnosis of coronary artery disease. China since 1973 in Shanghai, Beijing, Guangzhou, Jinan (author, 1979), Suzhou and Xi’an to carry out SCA, so far about 300 cases. The success rate and complications of the examination depend on the proficiency of the examination tools and intubation techniques. First, the SCA method of operation is currently used in two ways: First, Song (Sone, 1959) method, from the upper extremity brachial artery insertion of a special catheter, respectively, into the left and right coronary artery; two is Jinkin’s (Judkin 1967 ) Method, percutaneous puncture from the lower extremity femoral artery into different types