【摘要】 为了估计体外反搏对冠心病的治疗价值,对2例稳定型心绞痛患者(病程分别为10年和3年),在反搏前后进行冠状动脉(以下简称冠脉)造影,观察冠脉侧支循环的变化。例1于1986年5月31日造影示三支病变,狭窄程度:前降支90%,回旋支99%,右冠脉3处狭窄均为75%,伴少量侧支。经每天1h(共87h)反搏后,在同一医院于1986年9月13日进行第二次造影,前后对比三支狭窄程度无改变,但增加许多网状侧支循环。例2第一次冠脉造影示三支病变,狭窄程度前降支为75%,回旋支75%,右冠脉90%。立即进行体外反搏94h后,第二次冠脉造影,前后对比狭窄处无明显改变,侧支增加。更多还原

【Abstract】 In order to assess the therapeutic effect of external counterpulsation (ECP) in coronary heart disease, coronary angiography was performed before and after ECP to observe the development of collateral circulation in 2 patients with stable angina pectoris. Case 1. Pre-ECP coronary angiographywas performed on May 31, 1986 and showed stenosis of 3 vessels to the extents of 90%, 99% and 75% in LAD, LCX and RCA respectively with few collaterals. After 87 one-hr sessions of ECP, post-ECP coronary angiography was immediately performed in the same way on Sept. 13, 1986. In comparison with the pre-ECP coronary angiograms, no change in the narrowing of LAD, LCX and RCA, but numerous reticular collateral circulation was observed. Case 2. After 94 one-hr sessions of ECP, the post coronary angiography showed an increase of collaterals with no change in the 3 stenosed coronary arteries. The mechanism of development of collateral vessels by ECP was discussed.更多还原