中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
7期
21-21,23
,共2页
冠心病%稳定型心绞痛%不稳定型心绞痛%临床
冠心病%穩定型心絞痛%不穩定型心絞痛%臨床
관심병%은정형심교통%불은정형심교통%림상
Coronary heart disease%Stable angina%Unstable angina%Clinical
目的：分析和探究稳定性心绞痛与不稳定型心绞痛的发病规律、诱因、临床表现、差异性和治疗措施。方法：回顾性分析76例心绞痛患者的临床特点和治疗措施，实验室及其他检查，研究稳定型心绞痛与不稳定型心绞痛的临床表现和治疗方法。结果：冠心病心绞痛常见的症状为发作性胸痛，疼痛部位主要在胸骨体中段或上段之后，稳定型心绞痛表现为阵发性的前胸压榨性疼痛，主要治疗以休息和舌下含服硝酸酯制剂。不稳定型心绞痛表现为原有劳力性心绞痛恶化，出现静息心绞痛及梗死后心绞痛，治疗以止痛、抗栓、抗凝、急诊冠状动脉介入治疗。结论：稳定型心绞痛根据临床表现以控制和减轻症状为主。不稳定型心绞痛以抗凝、防止心肌梗死为主。
目的：分析和探究穩定性心絞痛與不穩定型心絞痛的髮病規律、誘因、臨床錶現、差異性和治療措施。方法：迴顧性分析76例心絞痛患者的臨床特點和治療措施，實驗室及其他檢查，研究穩定型心絞痛與不穩定型心絞痛的臨床錶現和治療方法。結果：冠心病心絞痛常見的癥狀為髮作性胸痛，疼痛部位主要在胸骨體中段或上段之後，穩定型心絞痛錶現為陣髮性的前胸壓榨性疼痛，主要治療以休息和舌下含服硝痠酯製劑。不穩定型心絞痛錶現為原有勞力性心絞痛噁化，齣現靜息心絞痛及梗死後心絞痛，治療以止痛、抗栓、抗凝、急診冠狀動脈介入治療。結論：穩定型心絞痛根據臨床錶現以控製和減輕癥狀為主。不穩定型心絞痛以抗凝、防止心肌梗死為主。
목적：분석화탐구은정성심교통여불은정형심교통적발병규률、유인、림상표현、차이성화치료조시。방법：회고성분석76례심교통환자적림상특점화치료조시，실험실급기타검사，연구은정형심교통여불은정형심교통적림상표현화치료방법。결과：관심병심교통상견적증상위발작성흉통，동통부위주요재흉골체중단혹상단지후，은정형심교통표현위진발성적전흉압자성동통，주요치료이휴식화설하함복초산지제제。불은정형심교통표현위원유로력성심교통악화，출현정식심교통급경사후심교통，치료이지통、항전、항응、급진관상동맥개입치료。결론：은정형심교통근거림상표현이공제화감경증상위주。불은정형심교통이항응、방지심기경사위주。
Objective:To analyze and explore pathogenesis regularity,inducement,clinical manifestations,difference and treatment measures of stable angina and unstable angina.Methods:A retrospective analysis of 76 cases of angina patients clinical features and treatment measures,laboratory and other tests,studying the clinical manifestations and treatment with stable angina unstable angina.Results:Common symptoms of angina pectoris is chest pain episodes,pain in the middle part of the main body of the sternum or after the previous paragraph,stable angina showed paroxysmal crushing chest pain,the main treatment is rest and sublingual nitrates.Unstable angina is characterized by the deterioration of the existing angina pectoris,appear resting and post-infarction angina pectoris,treatment of pain,antithrombotic,anticoagulant,percutaneous coronary intervention.Conclusion:According to the clinical manifestations of stable angina in order to control and alleviate symptoms.Unstable angina with anticoagulation,prevention of myocardial infarction based.
