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本文分析84例慢性稳定性下壁心肌梗塞,通过冠状动脉造影检查,分析哪些特殊的临床因素有助于辨认具有早期致死危险的冠状动脉(主干、左前降支或左前降支合并左回旋支)近端阻塞,并对比冠状动脉旁路手术和单纯内科治疗的临床效果。 84例中男66例,女18例,平均年龄52.8±2.6岁,均为无并发症下壁心肌梗塞。在梗塞发生后6个月内作心导管检查,该时心脏功能均已恢复到Ⅰ或Ⅱ级。按造影所示
This article analyzes 84 cases of chronic inferior myocardial infarction, coronary angiography by coronary angiography, analysis of which special clinical factors help identify the risk of early lethal coronary artery (trunk, left anterior descending artery or left anterior descending branch and left circumflex artery branch) Proximal obstruction, and compare the clinical effect of coronary artery bypass surgery and simple medical treatment. There were 66 males and 18 females in 84 cases, with an average age of 52.8 ± 2.6 years, all of whom had inferior myocardial infarction without complications. Cardiac catheterization was performed within 6 months after infarction, when cardiac function was recovered to grade I or II. According to angiography shown