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采用心得安试验、运动负荷试验,核素负荷心肌断层灌注显影(ECT)、冠状动脉造影(CAG)、心脏超声检查(UCG)等方法,对海员体检检出62例无症状ST-T改变患者的临床意义及远航能力进行初步评定。结果表明:38例(61.3％)为植物神经功能紊乱;5例(8.1％)确诊为冠心、高心、心肌病等器质性心脏病等;3例(4.8％)已排除冠心病等器质性心脏病;11例(17.7％)初步诊断为冠心可能很小患者;5例(8.1％)判断为冠心病可能患者。
Sixty-two patients with asymptomatic ST-T changes were examined by seizure test, exercise stress test, radionuclide perfusion imaging (CTA), and echocardiography (UCG) The clinical significance and voyage ability preliminary assessment. The results showed that: 38 cases (61.3%) were autonomic dysfunction; 5 cases (8.1%) were diagnosed as organic heart disease such as coronary heart disease, hypercardia and cardiomyopathy; 3 cases (4.8% Organic heart disease; 11 cases (17.7%) initially diagnosed as patients with very small coronary heart; 5 cases (8.1%) were judged as possible coronary heart disease patients.