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￣（９９ｍ）Ｔｃ－ＭＩＢＩ心肌断层显像和动态心电图对冠心病的对比观察山西医学院第一附属医院（０３０００１）李志苓，阎晓梅，贾三庆，武惠英核素心肌断层显像和动态心电图对冠心病的诊断价值巳被肯定，本文采用两种检查方法对冠心病作对比观察，并对有关资料进行分析讨论。对象和方法一、对象：受检冠心病患者３３例，男２７例，女６例；年龄范围３４～７８岁，平均５３．５岁；所有患者均符合ＷＨＯ诊断标准。２７例有心前区疼痛史，１４例为陈旧性心肌梗塞，１９例诊断为心绞痛。二、方法：检查当天停服扩冠药物，记录１２导联心电图，静脉注射９９ｍＴｃ－－ＭＩＢＩ２５ｍｃｉ，一小时后应用以色列产ＥＬｓｃｉｎｔＳｐ－－４ＨＲ型ＳＰＥＣＴγ照相机作三个方位心肌断层显像，心肌显像阴性者２～３天后再作９９ｍＴｃ－－ＭＩＢＩ心肌断层显像平板运动试验，心肌显像的阳性标准：心肌断层图像出现放射性缺损或稀疏区域，位于连续二层（每层厚度１ｃｍ），并在二个不同方位的层面上出现。心肌断层显像后一周内应用英国产ＭｅｄｉｌｏｇＥｘｃｅｌ动态心电图分析系统，ＭｅｄｉｌｏｇＭＲ４５００型记录盒进行２４小时动态心电图监测，记录导联为ＣＭ１，ＣＭｓ，全程记录人工检测，参考仪器
~ (99m) Tc-MIBI myocardial perfusion imaging and dynamic electrocardiogram on coronary heart disease compared observation of the First Affiliated Hospital of Shanxi Medical College (030001) Li Zhiling, Yan Xiaomei, Jia Sanqing, Wu Huiying radionuclide myocardial imaging and dynamic electrocardiography of coronary heart disease Diagnostic value has been affirmed, this article uses two methods of inspection for coronary heart disease for comparative observation, and the relevant data analysis and discussion. Subjects and Methods 1. Subjects: 33 patients with CHD were examined, 27 males and 6 females. The age range was 34 to 78 years old, with an average of 53.5 years. All patients were in line with WHO diagnostic criteria. 27 cases had anterior precordial pain history, 14 cases of old myocardial infarction, 19 cases diagnosed as angina. Second, the method: check the day to stop taking crown medicine, recorded 12 lead ECG, intravenous injection of 99mTc - MIBI25mci, one hour after the application of Israel ELscintSp - 4HR SPECTy camera for three azimuth myocardial imaging, myocardial imaging Negative for 2 to 3 days before making 99mTc - MIBI myocardial imaging imaging test for flat exercise, the positive standard for myocardial imaging: myocardial defect images appear radioactive defects or sparse area, located in two consecutive layers (each layer thickness of 1cm), and in Two different directions at the level of appearance. One week after myocardial imaging, the British-made MedilogExcel Holter Analysis System and the MedilogMR4500 recording cassette were used to monitor 24-hour Holter monitoring. The recording lead was CM1 and CMs, and the whole record was recorded manually. The reference instrument