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目的 :通过 112例冠状动脉造影结果 ,探讨冠状动脉病变与临床多种因数的关系。方法 :采用Judkin’s法 ,经股动脉穿刺 ,在多个投射角度作选择性左右冠状动脉造影。结果 :阳性率占 6 5 .2 % (73/112 ) ,累及 14 0支冠状动脉 ,其中单支病变 37.0 %(2 7/73) ,双支病变 38.4% (2 8/73) ,三支病变 2 0 .5 % (15 /73) ,左主干 +三支病变 4.1% (3/73)。结论 :男性、年龄大于 45岁、A型性格、有吸烟史和高血压病史 ,有心肌梗塞和典型心绞病史、心电图典型缺血改变者冠状动脉造影的阳性率明显增高。
Objective: To investigate the relationship between coronary artery disease and clinical factors through 112 cases of coronary angiography. Methods: Judkin’s method was used to select the left and right coronary angiography at multiple projection angles through the femoral artery puncture. Results: The positive rate was 65.2% (73/112) involving 140 coronary arteries, of which 37.0% (27/73) had single vessel disease, 38.4% (28/73) had double vessel disease, and three Lesions were 20.5% (15/73), left main + 3 lesions were 4.1% (3/73). Conclusion: Male, age> 45 years old, type A personality, history of smoking and history of hypertension, history of myocardial infarction and typical history of myocardial infarction. The positive rate of coronary angiography in patients with typical ischemic electrocardiogram changes was significantly higher.