论文部分内容阅读
本文根据尸解检查四支(右、左主,左前降支,左回旋支)主要冠状动脉病变,对照不同临床状态以探讨形态学的变异。方法尸体解剖病例共67例,其中14例为不稳定型心绞痛患者,验尸时无肉眼及显微镜下的左室坏死,32例为急性心肌梗塞患者,均有左室透壁性坏死,21例为冠脉性猝死患者。所有病例其死亡的唯一原因是心肌缺血。心肌梗塞患者既往无心绞痛,不稳定型心绞痛患者既往无急性心肌梗塞,冠脉性猝死患者既往无心绞痛和心肌梗塞。所有病例
In this paper, we examined the main coronary artery lesions of four branches (right, left main, left anterior descending branch and left circumflex branch) according to autopsy, and compared the different clinical conditions to explore the morphological variation. Methods A total of 67 cases of autopsy were included in the study. Among them, 14 cases were unstable angina pectoris. No macroscopic and microscopic necrosis of the left ventricle were found during autopsy. Thirty-two cases were acute myocardial infarction. All had left ventricular transmural necrosis, Patients with sudden coronary death. The only cause of death in all cases was myocardial ischemia. Previously, patients with myocardial infarction had no previous history of angina pectoris and no history of acute angina pectoris. Previously, patients with coronary artery sudden death had no angina and myocardial infarction. All cases