医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
3期
456-458
,共3页
曹清涛%张春亮(综述)%王怀新(审校)
曹清濤%張春亮(綜述)%王懷新(審校)
조청도%장춘량(종술)%왕부신(심교)
冠状动脉疾病%胸痛%心肌梗死
冠狀動脈疾病%胸痛%心肌梗死
관상동맥질병%흉통%심기경사
Coronary disease%Chest pain%Myocardial infarction
发作性胸痛是临床常见病症,由于选择性冠状动脉造影技术的普及,部分胸痛患者冠状动脉造影检查发现主要冠状动脉分支无明显狭窄病变,而是表现为前向血流速度缓慢,这一现象被称为冠状动脉慢血流现象。虽然其确切的病理机制及真实的临床意义迄今尚不十分明确,但近几年来许多临床工作者为此作了较多的临床研究,在基础和临床方面提出了一些新观点,使这一现象的临床特征、辅助检查及治疗特点等逐渐明确。
髮作性胸痛是臨床常見病癥,由于選擇性冠狀動脈造影技術的普及,部分胸痛患者冠狀動脈造影檢查髮現主要冠狀動脈分支無明顯狹窄病變,而是錶現為前嚮血流速度緩慢,這一現象被稱為冠狀動脈慢血流現象。雖然其確切的病理機製及真實的臨床意義迄今尚不十分明確,但近幾年來許多臨床工作者為此作瞭較多的臨床研究,在基礎和臨床方麵提齣瞭一些新觀點,使這一現象的臨床特徵、輔助檢查及治療特點等逐漸明確。
발작성흉통시림상상견병증,유우선택성관상동맥조영기술적보급,부분흉통환자관상동맥조영검사발현주요관상동맥분지무명현협착병변,이시표현위전향혈류속도완만,저일현상피칭위관상동맥만혈류현상。수연기학절적병리궤제급진실적림상의의흘금상불십분명학,단근궤년래허다림상공작자위차작료교다적림상연구,재기출화림상방면제출료일사신관점,사저일현상적림상특정、보조검사급치료특점등축점명학。
With the widely use of coronary angiography, some patients with intermittent chest pain who present slow forward flow velocity of coronary artery and without obviously obstructive coronary lesions were detected by coronary angiography.This phenomenon known as coronary slow flow phenomenon ( CSFP). But, so far, its exact mechanism and real meaning are not very clear.In recent years, clinical physicians have made many studies and present some new findings both in pathological and clinical features .So, the clinical features, assistant exams and treatments of CSFP are gradually made clear.