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xin zang ban mo bing guan zhuang dong mai zao ying 82 li bao gao
Author(s): 
Pages: 92-93
Year: Issue:  S1
Journal: Academic Journal of Second Military Medical University

Keyword:  心脏瓣膜疾病冠状动脉粥样硬化冠状动脉造影;
Abstract: 目的:了解国人心脏瓣膜病合并冠状动脉病变的发生率。方法:从1994年1月~1996年8月连续对82例年龄45岁以上,拟行手术治疗的心脏瓣膜病患者,于术前常规行选择性冠状动脉造影检查,其中风湿性心脏病(风心病)61例,二尖瓣脱垂12例,非风湿性主动脉瓣病变9例。结果:82例患者中,仅发现2例存在冠状动脉明显狭窄,均为风心病二尖瓣病变合并主动脉病变。心脏瓣膜病合并冠状动脉病变的发生率为2.4%(2/82),风心病合并冠状动脉病变的发生率为3.2%(2/61)。结论:国人心脏瓣膜病合并冠状动脉病变的发生率较低,术前常规冠状动脉造影检查可选择在50岁以上的患者进行。
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