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五种无创性检查法诊断冠心病心肌缺血的价值 被引量:1

Value of 5 kinds of no-hurt diagnostic method for coronary heart disease
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摘要 作者研究了目前临床常用的五种无创性检查法对冠心病心肌缺血的诊断价值,包括运动核素心肌灌注显像(ECT)、动态心电图(Holter)、二维超声心动图(2DE)、三倍二阶梯运动试验,平静心电图(ECG)。结果表明:在ECT显示有缺血的病例中Holter检查阳性者51%,明显高于其它三种检查的阳性率,并且随着ECT显示的心肌缺血范围扩大,ECG、Holter、2DE、三倍二阶梯运动试验的阳性检出率均显著提高。 This paper studied 5 kinds of no-hurt diagnostic method for coronary heart diseasewhich were often used today, including 99mTC-MIBI myocardiol tomography imagine (ECT),dynamic electrocardio-gram (DCG ), two dimensional echo cardiography (2DE ) two - step electrocardiogram, electrocardiogram (ECG). The results showed that diagnostic contribution of ECT and DCGwas 51 %,and it was significantly higher than other three metholds. As suggested by ECT, ischemiawas more severe,the diagnostic contribution in DCG, 2DE and two-step ECG was higher. In the cases of one-wall, two-wall, three-wall ischemia, the diagnostic contribution of DCG, 2DE was 45 %,57%,88%,and 13. 6%, 50%, 55% respectively.
出处 《白求恩医科大学学报》 CSCD 1997年第5期525-527,共3页 Journal of Norman Bethune University of Medical Science
关键词 冠心病 心肌缺血 诊断 ECT 动态心电图 Coronary heart disease ^(99m)TC-MIBI myocardiol tomography imagine (ECT) Dynamic electrocardiol - gram (DCG) Two - dimensional echo cardiography (2DE) Two-step electrocardiogram Electrocardiogram (ECG)
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