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作者在法国Rangueil医学院附属医院心脏科进修期间,曾参加104例冠状动脉造影检查工作,兹将检查结果与临床诊断对照比较分析如下,以供参考。资料与方法 104例按临床诊断分为四组: (一)胸痛组37例:包括临床诊断心绞痛和可疑心绞痛患者27例,此二者心电图均有不同程度的异常;另10例临床虽高度怀疑心绞痛,但心电图正常。将此37例按心电图检查结果分为三组:即(1)ST段呈缺血型下降,和/或V_(?)-V_(?)任何一导联T波呈双相或倒置;(2)V_(?)-V_(?)导联T波低平;(3)心电图正常。 (二)心肌梗塞组共37例:包括急性心肌梗塞23例,陈旧性心梗14例。 (三)冠状血管重建术后发生急性心梗和严重心
The authors participated in 104 cases of coronary angiography during the course of cardiology training at the affiliated hospital of Rangueil Medical School in France. The author will compare the results with those of clinical diagnosis as follows for reference. Materials and Methods According to the clinical diagnosis, 104 cases were divided into four groups: (1) 37 cases of chest pain group: including 27 cases of clinically diagnosed angina pectoris and suspicious angina pectoris, both of which had different degrees of abnormalities; the other 10 cases were highly suspicious Angina, but normal ECG. According to the results of electrocardiogram, the 37 cases were divided into three groups: (1) the ST segment showed an ischemic drop, and / or any lead of the V_ (?) - V_ (?) Appeared biphasic or inverted; 2) V _ (?) - V_ (?) Lead T wave low level; (3) normal ECG. (B) a total of 37 cases of myocardial infarction group: including 23 cases of acute myocardial infarction, 14 cases of old myocardial infarction. (C) acute myocardial infarction and severe heart after coronary revascularization