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本文报告348例尸检中冠状动脉粥样硬化的观察结果。冠状动脉粥样硬化检出率随年龄的增长而增加,狭窄程度也随年龄的增长而加重(P<0.01)。多致病例(73.5%),冠状动脉粥样硬化病变累及多支,病变分布以左冠状动脉前降支为最高最重。冠状动脉粥样硬化的检出率和狭窄程度在知识分子组和干部组均比工人组及农民组为高而重(P<0.01)。在率组病例中,以高血压病合并冠状动脉粥样硬化为最多(75%),而消耗性疾病如恶性肿瘤、结核病和肝硬化其合并冠状动脉粥样硬化则较少。
This article reports the results of an autopsy of 348 coronary atherosclerosis. Coronary atherosclerosis detection rate increased with age, stenosis also increased with age (P <0.01). More frequent cases (73.5%), coronary atherosclerotic lesions involving multiple branches, lesions in the left anterior descending coronary artery for the highest and heaviest. Coronary atherosclerosis detection rate and stenosis in the intellectual and cadre groups were higher and heavier than workers and peasant groups (P <0.01). In the rate group, coronary atherosclerosis was the most common form of hypertension (75%), whereas wasting disease such as malignancy, tuberculosis and cirrhosis combined with less coronary atherosclerosis.