左主干冠状动脉瘤误诊一例.pdfVIP

·46· ·误诊研究：循环系统疾病· 左主干冠状动脉瘤误诊一例 张存新，李孝华，董梅，黄卫芳，陈嵘 [摘要] 目的 探讨冠状动脉瘤的病因、诊断及治疗．以降低误诊率．方法 对我科收治的1例左主干冠状动 脉瘸的临床资料进行【|I_I顾性分析。结果本例为59岁女性．发作性胸闷、胸痛10年，近日发作频繁，于外院行运动负 荷试验拟诊为冠心病，入我科后行冠状动脉造影检查．明确诊断为左主二f：冠状动脉瘤，予药物治疗好转后出院，结论 冠状动脉瘤的主要临床表现是心绞痛。临床I二易误诊为冠心病。冠状动脉造影是确诊本病的主要方法，目前可采 用药物治疗、介入治疗和外科予术治疗。 [关键词]冠状动脉瘤；误诊；冠状动脉疾病；冠状动脉造影 [中国图书资料分类号]R543．3 [文献标志码]A [文章编号]1002．3429(2013)06-0046．03 [DOI] 10．3969／j．issn．1002．3429．2013．06．022 ACase ofLeftandMain Report：MisdlagnosisCoronaryAneurysm ZHANG of Cun-xin，LIXiao-hua，DONGMei，HUANG Disease，General Wet-fang，CHENRong(DepartmentHypertensive of ProvinceofChinese Police HospitalXinjiang People§ArmedForces，Urumqi830093，China) To the andtreatmentofthe tore— [Abstract]0bjectiveexploreetiology，diagnosis coronaryaneurysm(CA)，and in ducethe rate．MethodsClinicaldataofa withleftantimainCA our were misdiagnosis patient departmentretrospectively A womanwasadmittedfor chestdistressandchest forten analyzed．Results59一year—old paroxysmal pain years．Thepatient was as heartdiseasetreadmillexercisetestinother our the was diagnosedhavingcoronary by hospitals．Indepartmentpatient confirmedas leftandmainCA wastreatedwith having bycoronaryarteriongraphy，andpharmacotherapy．Thepatientpatho- condition andwas The of is genetic improved discharged．Conclusionprimarysymptomcoronaryaneurysmanginapectoris， is heart isthemain offinal andCA as easilymisdiagnosedcoronarydisease．Coronaryarteriongraphyapproachdiagnosis，and CAtreatmentincludes and treatmentat