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本文对682例有完整档案和病史的尸检心脏(按全国粥样硬化尸检普查协作诊断标准)进行了检查,并对10岁以上的332例资料进行分析。结果表明我组20岁以上成年人的冠状脉粥样硬化的检出率为49. 22%,男多于女。随着年龄的增长,不仅检出率有所升高,而且病变也随之发展,表现在病变级别随之增高,病变性质逐渐复杂,依次出现脂纹、斑块和复合病变。病变部位以前降支最多,级别最高,病变也复杂,其次顺序为左主干、右主干、左旋支和后降支,且近段比远段严重。本文还分析了本病与职业及主要合并症的关系。此外,对早期病变进行了讨论。
In this paper, 682 autopsy hearts with a complete history and medical history were examined (in accordance with the National Diagnostic Criteria of Autopsies for Autopsies), and 332 cases of data over 10 years of age were analyzed. The results showed that my group of adults over the age of 20 coronary atherosclerosis was detected in 49.22%, more men than women. With age, not only the detection rate increased, but also the development of the disease, manifested in the lesion level increased, the nature of the lesions gradually complicated, in turn, lipid pattern, plaque and compound lesions. Lesions before the descending branch up, the highest level, the lesion is also complicated, followed by the order of the left main trunk, right main, left circumflex artery and descending branch, and the proximal segment than the distal segment is serious. This article also analyzes the relationship between the disease and occupational and major complications. In addition, early lesions were discussed.