【摘要】 目的:探讨青年冠心病(CHD)患者危险因素及病变特点,以提高诊治水平。方法:选择冠状动脉造影确诊的青年CHD患者54例。男51例,女3例,回顾性分析危险因素及冠状动脉病变特点,支架植入资料。结果:急诊住院者21(38.89%)例,急性及陈旧性心肌梗死者15(27.78%)例;各危险因素阳性率依次为:吸烟64.81%、高甘油三酯血症53.70%、高血压42.59%、严重超重35.19%、酗酒22.22%、高胆固醇血症18.52%、糖尿病13.96%、家族史9.26%。具有三个以上危险因素者26(48.15%)例;冠状动脉单支病变26(48.15%)例、双支病变14(25.93%)例、三支病变14(25.93%)例;病变血管狭窄大于70%者98支,前降支(LAD)47.96%,回旋支(LCX)21.42%,右冠状动脉(RC)28.57%,左主干(LM)2.04%;支架植入术干预血管73支,支架的大小及长度为:LAD3.14±0.38×19.85±5.38(mm),LCX3.03±0.40×21.39±6.72(mm),RC3.50±0.48×22.95±5.16(mm)。结论:多数青年CHD患者发病突然、病变严重。约半数患者病变累及LAD;吸烟、高甘油三酯血症、高血压、严重超重是最重要的危险因素。更多还原

【Abstract】 Objective:To analyze the risk factors and the coronary artery lesions of the youth patients with coronary heart disease(CHD)Method:54 youth patients were identified as CHD by coronary angiography.The risk factors,coronary artery lesions and the results of stents were analyzed.Result:① 38.9% patients were admisted from the emergency department and 27.8% suffered acute or old myocardial infarction.②The positive percentage of the risk factors as followed:Smoking(64.8%),hyperlipdemia(53.7%),hypertension(42.6%)and serious overweight(35.2%).more than three risk factors was 48.2%.③ The single coronary artery lesions was 48.2%,two coronary artery lesions was 25.9% and three was 25.9%;The coronary arteries with stenosis over 70% were 98:The left descending artery(LAD)was 48.0%,The left cicumlex artery(LCX)was 21.4%,The right coronary artery(RCA)was 28.6%,The left main 2.04%.④ 73 arteries were interfered by PCI,and the stents in LAD was 3.14±0.38×19.85±5.38mm,LCX:3.03±0.40×21.39±6.72mm,RCA:3.50±0.48×22.95±5.16mm.Conclusion:Most of the youth patients suffer CHD abruptly and seriously.About half of the patients have the lesions in LAD.Smoking,hyperlipdemia,hypertension and serious overweight are the important risk factors.更多还原