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1、-------延边大学医学部硕士论文AbstractObjective:Thisstudyisaimtoclearlythesituationofcoronaryarterylesionsanddiagnosisinpatientswithinitiallydiagnosedascoronaryheartdisease.Thecausesofmisdiagnosiswasinvestigated.AswellasweadministerplateletglycoproteinIIb/IIIareceptorantagonisttopatientswithcoronarythrombosisby
2、catheterandevaluateefficacy.Methods：Thetotalof108caseswereselectedfromMarch2010toMarch2012inourhospitalinitiallydiagnosedascoronaryheartdisease,including49malesand59females,aged28to78years(theaverageageof54.53±9.74yearsold).Enrolledpatientsmainlyrecurrentepisodesofprecordialpain,chesttightness,short
3、nessofbreath,suchascoronaryheartdiseasesymptoms.Clearlydiagnosedcoronaryheartdiseasewasexcludedbycoronaryangiography、coronaryangiography,、ECGdynamicevolutionofcardiacexaminationandcardiacenzymesdeterminationaswellasvalvularheartdisease、cardiomyopathy、pulmonaryembolismandotherchestdiseasesbyCT,ultras
4、onographyandotherrelevantinspectionaorticdissections.Afteradmission,patientswereroutinelygivenoralAspirin,nitrates,betablockers,angiotensin-convertingenzymeinhibitordrugs(ACEI)orangiotensinIIreceptorblockers(ARB)classofdrugs,statinsandimprovecirculationdrugs.Accordingtothewishes,patientswereunderwen
5、tcoronaryangiographyadmittedtohospitalwithinaweekandgivenplateletglycoproteinIIb/IIIareceptorantagonist(tirofiban)8ug/10mininjectedthroughthecatheterwhowerefoundintracoronarythrombusformationandreviewcoronaryangiographyat10minutesafteradministration.Weobservedallselectedpatientswithcoronaryarterydis
6、ease,acleardiagnosisofcoronaryheartdisease,analysisofthecausesofmisdiagnosis;theefficacygiventirofibanthose.Results：①Accordingtotheresultsofcoronaryangiography,classifyingtoCHDandnon-CHDgroup.CHDgroup,92(92/108)ofcases,accountingfor85.18%,includingcoronaryarterystenosis>50%of42cases(42/92),accountin
7、gfor45.65%;coronaryarterystenosis,butwiththecontrastagentstaining50casesofthrombosis(50/92),-----------III-----------延边大学医学部硕士论文accountingfor54.34%.Non-CHDgroup,16cases(16/108),coronaryarteryignorance
