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本文总结了45例冠脉造影的经验,并与常规心电图、活动平板试验、超声心动图及~(201)Tl心肌扫描进行了比较,指出:①冠脉造影是一种相当安全的检查方法;②根据不典型的心前区疼痛诊断冠心病常是不可靠的;③冠心病患者的心功能主要取决于冠脉狭窄的程度而与病变的范围关系较小;④冠脉狭窄好发于前降支;⑤中国人和欧美人可能有不同的冠脉分布类型;⑥冠脉间的吻合支只是在高度狭窄或完全闭塞时才出现;⑦各种无创检查方法中以~(201)Tl心肌扫描和负荷心电图有较高的价值。
This article summarizes the experience of 45 cases of coronary angiography, and compared with conventional electrocardiogram, treadmill test, echocardiography and ~ (201) Tl myocardial scan, pointed out: ① coronary angiography is a fairly safe method of examination; ② according to atypical precordial pain diagnosis of coronary heart disease is often unreliable; ③ heart function in patients with coronary heart disease mainly depends on the degree of coronary artery stenosis and the extent of the lesion is small; ④ coronary stenosis occurs in the former ⑤ Chinese and Europe and the United States may have different types of coronary distribution; ⑥ anastomosis between coronary arteries only occurs when the height is narrow or completely occluded; ⑦ various noninvasive detection methods to ~ (201) Tl myocardial Scanning and load ECG have higher value.