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目的分析和评价冠心病介入诊断治疗的疗效和安全性。方法总结我院自2002年6月至2005年12月186例行冠状动脉介入诊断治疗患者的临床资料。结果造影阳性106例,其中94例行PTCA+支架植入术,术后随访无明显胸痛、胸闷发作;造影阴性78例,排除了冠心病;造影未成功2例。术中发生心室颤动2例,导管扭曲2例,低血压2例,经及时处理后好转;术后皮下瘀血10例。结论冠状动脉造影和PTCA+冠脉内支架植入术是诊断和治疗冠心病重要且有效的方法。
Objective To analyze and evaluate the efficacy and safety of interventional diagnosis and treatment of coronary heart disease. Methods The clinical data of 186 patients undergoing coronary intervention in our hospital from June 2002 to December 2005 were summarized. Results There were 106 cases with positive radiography, of which 94 cases underwent PTCA + stent implantation. There was no obvious chest pain and chest tightness in the follow-up. There were 78 cases of negative angiography, which excluded coronary heart disease and 2 cases of unsuccessful angiography. Intraoperative ventricular fibrillation in 2 cases, 2 cases of catheter distortion, hypotension in 2 cases, after a timely manner to improve; Subcutaneous bleeding in 10 cases. Conclusion Coronary angiography and PTCA coronary stenting are important and effective methods for the diagnosis and treatment of coronary heart disease.