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本文统计分析306例尸检中冠状动脉粥样硬化的检出率为66.01%,其中男性66.36%,女性65.17%,无性别差异。此检出率与国内其他材料相比偏高。冠状动脉粥样硬化随年龄增长,其发生率增加,病变程度加重。从30~39岁年龄组开始,其发生率就有明显增高,病变也由脂纹发展为纤维斑块及复合病变。提示冠心病预防应以30岁左右开始。病变的发生部位,左冠状动脉明显高于右冠状动脉。左冠状动脉前降支近段病变发生最多、最重。冠状动脉粥样硬化的发生,在伴发高血压病、糖尿病和慢性胰腺疾病时明显增高;伴发恶性肿瘤和严重结核病时降低。脑力劳动者的冠状动脉粥样硬化发生率高于体力劳动者。
The statistical analysis of 306 cases of autopsy coronary atherosclerosis detection rate was 66.01%, of which 66.36% were males and 65.17% females, no gender differences. This detection rate is high compared with other domestic materials. Coronary atherosclerosis with age, the incidence increased, the severity of the disease increased. From the age group of 30 to 39 years, the incidence was significantly increased, the lesion also developed from the lipid pattern of plaque and compound lesions. Tip prevention of coronary heart disease should be around 30 years old. Lesions in the site of the left coronary artery was significantly higher than the right coronary artery. Left anterior descending coronary artery proximal lesions occur the most, the heaviest. Coronary atherosclerosis, associated with hypertension, diabetes and chronic pancreatic disease was significantly increased; accompanied by malignant tumors and severe tuberculosis decreased. The incidence of coronary atherosclerosis in mental workers is higher than that of manual workers.