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我院自1992年10月引进SPECT以来已进行200余例心肌灌注显像,现将其中临床诊断为冠心病的129例病人作一总结如下。 1 资料和方法 1.1 临床资料:正常人10例,男女各5人,年龄30~65岁,平均46.6岁,既往无冠心病史,ECG、超声心动图检查均为正常;129例病人,由心内科医师最后诊断为冠心病(包括心绞痛116例和心肌梗塞13例),其中男107人,女22人,年龄20~77岁,平均为55.1岁,其中超声心动图检查79人,心电图检查114人。 1.2 检查方法:先对由北京阜外医院提供的心肌模型(前壁及间壁各有一矩形模拟梗塞灶的有机玻璃块)进行模拟断层检查,在心肌腔内注入~(99m)TcO7.4MBq(2mci),置于断层床上模拟人体仰卧位时心脏位置,用SOPHA MEDICAL DS7型SPECT
My hospital since the introduction of SPECT in October 1992 has been carried out more than 200 cases of myocardial perfusion imaging, which now has clinical diagnosis of coronary heart disease in 129 patients made a summary is as follows. 1 Materials and Methods 1.1 Clinical data: 10 cases of normal, 5 men and women, aged 30 to 65 years, mean 46.6 years, no previous history of coronary heart disease, ECG, echocardiography were normal; 129 patients, from the heart Physicians finally diagnosed coronary heart disease (including 116 cases of angina and 13 cases of myocardial infarction), including 107 males and 22 females, aged 20 to 77 years, mean 55.1 years, of which 79 echocardiography, ECG 114 people. 1.2 Check the method: first by the Beijing Fu Wai Hospital, myocardial infarction model (anterior wall and the wall of a rectangular infarct-like plexiglass block) simulated tomography in the myocardial cavity injection of 99mTcO7.4MBq (2mci ), Placed on the bed to simulate human supine position of the heart, with SOPHA MEDICAL DS7 SPECT