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本文报道了1984年9月至1985年7月间作PTCA或仅通过球囊导管而未作扩张的9例患者尸检结果,其中男8例,女1例,年龄57至79岁。尸检均在死亡后3小时内进行,每个成形处血管作2mm间隔的横断面连续切片,PTCA部位切块同电影血管造影图作精确配对,然后进行电镜和光镜检查。成形处血管撕裂和疤痕。根据撕裂深度所及范围分为内膜和穿透内膜(中层和穿透中层)损伤。造影示9例中20个部位成形后血管形态改变:其中16个
This article reports autopsy results of 9 patients who underwent PTCA or balloon catheter only between September 1984 and July 1985 without dilatation, including 8 males and 1 females, aged 57 to 79 years. The autopsy was performed within 3 hours after the death. The blood vessel of each forming site was continuously sectioned at 2 mm intervals. The PTCA site was accurately matched with the angiogram of the film and then examined by electron microscopy and light microscopy. Former vascular rupture and scars. According to the scope of the tear depth is divided into endometrium and penetrate the tunica intima (middle and penetrate the middle) damage. Angiography showed that the shape of blood vessels in 20 of 9 cases changed after the formation of shape: 16 of them