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本文报道10名冠心病患者其生前冠状血管造影呈显著狭窄的61支冠状动脉或其近端和远端部分与死后尸检发现的比较。方法:10名病人生前均有心绞痛和/或已愈合的急性心肌梗塞,并均作了冠状动脉旁路手术。死亡均发生在心脏手术后57天内,不超过冠状血管造影检查后69天。尸检时将壁外冠状动脉完整地从心脏分离,固定在10%福尔马林缓冲液中,其后作X线摄片,如有钙化点则先予以脱钙。然后,横切成5毫米节段。每一节段至少切片二张分别用H-E和Movat法染色。冠状动脉造影和尸检切片检查的阻塞程度分级为0~25%,26~50%,51~75%和76~100%。结果:(1)尸检发现:组织学检查显示,在10名病人的61支冠状动脉或其近端和远端部分,动脉粥
This article reports the coronary angiography of 10 patients with coronary artery stenosis before their coronary artery or its proximal and distal parts of the post-mortem comparison was found. Methods: All 10 patients had angina pectoris and / or healed acute myocardial infarction before their death. All patients underwent coronary artery bypass surgery. Deaths occurred within 57 days after cardiac surgery and did not exceed 69 days after coronary angiography. At the time of autopsy, the intact pericardial coronary arteries were isolated from the heart and fixed in 10% formalin buffer, followed by X-ray photography, and decalcified if calcified. Then, cross into 5 mm segments. At least two sections of each section were stained with H-E and Movat methods, respectively. Coronary angiography and autopsy biopsies were graded as 0-25%, 26-50%, 51-75%, and 76-100%. RESULTS: (1) Autopsy findings: Histological examination revealed that in 61 patients with coronary arteries in 10 patients or proximal and distal portions thereof, atherosclerosis