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目的 :观察冠状动脉造影与冠心病的临床诊断符合率。方法 :将 16 4例临床诊断为冠心病患者经冠状动脉造影 (CAG) )与临床进行对比分析。结果 :确诊冠心病 12 0例 ,诊断符合率为 73.2 %。其中除冠脉痉挛或溶栓成功或自溶 8例 ,X综合征 5例。尚有 44例误诊 ,占 2 6 .8% ,主要是高血压性心脏病、心肌病、心律失常等。结论 :严格掌握心绞痛标准是冠心病诊断正确的关键。
Objective: To observe the coincidence rate of clinical diagnosis between coronary angiography and coronary heart disease. Methods: 16 4 cases of clinical diagnosis of coronary heart disease by coronary angiography (CAG)) and clinical comparative analysis. Results: 120 cases were confirmed coronary heart disease, the diagnostic coincidence rate was 73.2%. In addition to coronary artery spasm or thrombolytic success or autolysis in 8 cases, X syndrome in 5 cases. There are 44 cases misdiagnosed, accounting for 26.8%, mainly hypertensive heart disease, cardiomyopathy, arrhythmia and so on. Conclusion: Strict control of angina pectoris is the key to the correct diagnosis of coronary heart disease.