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收集北京地区100例意外死亡年青人(15~39岁)新鲜心脏标本的冠状动脉,对其动脉粥样硬化病变检出率及病变特点进行观察。结果为:部分脂纹有可能通过中间型病变转变为斑块;年青人动脉粥样硬化斑块多以细跑性纤维组织增生为主;动脉粥样硬化病变总检出率为56.0%,男性病变检出率高于女性,且随年龄增长而增高。冠状动脉狭窄检出率与斑块检出率呈正相关。结果表明北京地区年青人冠状动脉粥样硬化病变检出年特别是由斑块所致的冠状动脉狭窄检出率已较高,提示防治动脉粥样硬化必须从年青人抓起。
The coronary arteries of fresh heart samples from 100 young adults (15 to 39 years old) who died of accidental death in Beijing were collected and their atherosclerotic lesion detection rate and lesion characteristics were observed. The result is that some of the lipids may be converted into plaques through intermediate lesions; young atherosclerotic plaques are mainly telangiectasias; the total detection rate of atherosclerotic lesions is 56.0% The detection rate of male lesions is higher than that of females and it increases with age. The detection rate of coronary artery stenosis was positively correlated with the plaque detection rate. The results showed that the detection rate of coronary artery stenosis caused by coronary artery atherosclerotic lesions in young people in Beijing was particularly high, indicating that the prevention of atherosclerosis must be started from young people.