查询词典 coronary

Its coincidence rate with CAG was 89% in left coronary artery main stem, 93% in left anterior descending coronary artery, 68% in left circumflex coronary artery, and 48% in right coronary artery.

64排螺旋CT冠状动脉成像能较准确反应各支血管部位的狭窄程度，对左主干及前降支病变与冠状动脉造影检查符合率较高，在评价冠状动脉狭窄、定性和定量检测冠状动脉粥样硬化斑块等方面都有良好的临床应用价值。

Results 14 coronary artery anomalies were found, including anomalous coronary artery origin (4 cases), single coronary artery (1 case), absence of left circumflex coronary artery (1 case) and myocardial bridge (8 cases).

结果331例MSCT冠状动脉造影中检出冠状动脉变异14例，包括冠状动脉开口起源异常4例，单支冠状动脉1例，左回旋支缺如1例；冠状动脉心肌桥8例。

It starts from the Department of aortic left coronary sinus ostium and the right coronary sinus ostium were issued for the left - coronary artery and its branches and right coronary artery and its branches, along the surface of the heart from the left and right respectively, extending toward the apex.

它从主动脉起始部的左冠窦口和右冠窦口分别发出左冠状动脉及其分支和右冠状动脉及其分支，沿心脏表面分别从左侧和右侧伸向心尖部。

Methods 136 patients with suspected or diagnosed coronary artery disease were studied with 16-slice spiral CT. Choosing left and right coronary artery in the axial enhancement scanning images, previewing 10 images at 0%-100% of the cardiocycle in increments of 10%, We evaluated grade of the image quality and number of the ratable coronary artery in different reconstruction phases. We selected the most clear image of left and right coronary artery, and recorded the phase. Raw data were reconstructed with thin images at the best phase.

对136例临床诊断或拟诊冠心病的患者行16层螺旋CT冠状动脉造影，选取增强扫描R-R心动周期0%~100%的10组图像（间隔10%），评价不同重建时相冠状动脉各主要分支的图像质量等级及可评价冠状动脉数，选择显示最清晰的一组记录时相。

Accuracy between two groups was calculated byχ~2 test.Calculate the average effective radiation dose of the 30 patients.Results In group A,seventeen patients underwent both DSCT coronary angiography and SCAG,among 255 segments of 17 patients,105 lesion sites of 70 segments were diagnosed stenosis or obstruction,of them,95 lesion sites were confirmed by SCAG.The accuracy of DSCTCA was 90.48%.The agreement of two methods have a high agreement(Kappa =0.853).In group B,13 patients underwent both DSCT coronary angiography and SCAG,among 195 segments of 13 patients,73 lesion sites of 57 segments were diagnosed stenosis or obstruction, of them,65 lesion sites were confirmed by SCAG.The accuracy of DSCTCA was 89.04%.The agreement of two methods have a high agreement(Kappa =0.835). There was no significant difference(χ~2=0.098,p＞0.05) between the accuracy of two groups.The effective radiation dose of 30 patients was 3.67±0.43 mSv.Conclusion Compared with SCAG,prospectively ECG-gated transverse DSCT is a valuable examination to detect and diagnose coronary artery disease with a low dose coronary angiography.The accuracy of the DSCT is approximate to the SCAG.There was no significant difference between the accuracy of two groups.

结果200例患者均成功完成了适应性前瞻性心电门控双源CT冠状动脉血管成像；30例同期行SCAG检查的患者，A组17例：HR≤75 bpm，可评价冠状动脉节段255个，70个冠状动脉节段有105处不同程度的狭窄，95处狭窄程度与金标准SCAG相符，其阳性诊断准确率为90.48%；2种方法的诊断结果得到了较高的一致性(Kappa值=0.853)。B组13例；HR≥91 bpm，可评价冠状动脉节段195个，57个冠状动脉节段有73处不同程度的狭窄，65处狭窄程度与SCAG相符，其阳性诊断准确率为89.04%；2种方法的诊断结果得到了较高的一致性(Kappa值=0.835)。2个心率组间的诊断准确率无明显统计学差异(x~2=0.098，p＞0.05)。30例患者的平均有效辐射剂量为3.67±0.43 mSv结论适应性前瞻性心电门控双源CT冠状动脉成像是一种有效减低辐射剂量的扫描方式，其诊断准确率与金标准SCAG相比得到较高的一致性，且高、低2个心率组间诊断准确率无明显统计学差异。

The optimal reconstruction windows of patients with stable HR(≤75 bpm and≥91 bpm) were concentrated in 71%,ranged from 65%-80%, and in 41%,ranged from 32%—50%,respectively.The prospectively ECG-gated DSCT coronary angiography can be used in patients with stable HR(≤75 bpm and≥91 bpm) in abstract.②To explore the clinical application of prospectively ECG-gated transverse DSCT coronary angiography.Methods Two hundreds patients[Body mass index:23-25 kg/m~2,122 patients(average HR≤75 bpm),78 patients(average HR≥91 bpm)]with suspected or known coronary artery disease underwent prospectively ECG-gated transverse DSCT coronary angiography,among them,30 patients underwent selectively coronary angiography,grouping them into 2 groups according to the average HR of scanning.Group A(17 cases,HR≤75 bpm),group B(13 cases, HR≥91 bpm),the DSCTA results were compared with SCAG.Then,calculate the accuracy of patients in each group and evaluate the agreement of accuracy between DSCTCA and SCAG by Kappa statistics.

方法回顾性分析200例行适应性前瞻性心电门控双源CT冠状动脉血管成像的患者(排除扫描过程中，屏气配合差，出现心律不齐的患者及行支架置入或搭桥术后复查的患者)，包括屏气时平均HR≤75 bpm患者122例，HR≥91 bpm患者78例；其中30例同期行选择性冠状动脉血管造影，按屏气时HR将其分为2组，A组17例：HR≤75 bpm，B组13例：HR≥91 bpm，分别与金标准SCAG对照，计算2组患者的阳性诊断准确率，应用SPSS 13.0统计学软件，利用Kappa检验比较每组患者的2种诊断方法诊断结果的一致性，利用两样本率x~2检验，比较2个心率组间的诊断准确率有无明显统计学差异，并计算此30例患者的平均有效辐射剂量。

Results Slight or moderate coronary dilatation and hydropericardium could return to normal within 1 to 2 years, while large coronary artery aneurysm resulting from severe coronary dilatation left behind permanent coronary arterial lesions, which stood for bad prognosis.

结果 轻、中度冠脉扩张及心包积液均能在1~2年内恢复，而重度冠脉扩张成巨大冠脉瘤者则不易恢复，留下永久性冠状动脉病变，预后不良。

A coronary microthromhoembolism model was successfully established by injecting sodium laurate into the coronary arteries. Coronary micro-thrombogenesis may promote the apoptosis of cardiomyocytes, and is one of the reason for heart function decrease. Telmisartan can efficiently suppress ventricles reconstruction, improve heart function, and inhibit the apoptosis of myocardial cells after microthrombogenesis in coronary artery.

冠状动脉内注射月桂酸钠能够成功建立冠状动脉微血栓的模型；冠脉内微血栓增加心肌细胞的凋亡，是导致心功能下降的原因之一；替米沙坦能有效地抑制心脏重塑，改善心功能，并能抑制冠脉微血栓后心肌细胞的凋亡。

Later, under the untypical parasternal four-chamber view which can thoroughly display the ostium of coronary sinus, the catheter was promoted further to the ostium of coronary venous sinus. Then the echocardiography technician adjusted the transducer of TTE in order to thoroughly confirm the position of the catheter tip. After confirming the position of catheter tip in the coronary venous sinus, the operator inserted the catheter into the coronary venous sinus for 3～4 mm farther. It was noted that if resistance was encountered by operator, the operation must be stopped, which was the same as x-ray fluroscopy as image guiding. TTE guiding His bundle elactric cahteter、high right atrium electric cahteter and right ventricular electric catheter in site: It is difficult using TTE singly since there are too many crossroads in inferior venous.

本研究结果显示，(1)单独应用TTE作为影像学引导进行冠状窦电极导管置放的成功率为93.8％～96.7％，并且应用TTE作为影像学引导放置专用冠状窦电极导管和普通电极导管的成功率和放置时间在统计学上无显著差异；(2)TTE作为影像学引导，除过度肥胖患者外，可完全替代X线引导进行冠状窦电极导管置放，包括鞘管和扩张管的放置、指引导丝在静脉而非动脉内的证实均可由TTE完成引导，且较X线C型臂有一定优越性；(3)TTE结合普通X线胃肠透视机作为影像学导引，可顺利完成心内电生理检查时导管的安全到位，而不需昂贵的X线C型臂，可将心内电生理检查扩大到广大的基层医院；(4)TTE较X线更易和更早期发现介入治疗的并发症如急性心包填塞等，对并发症的防治甚至挽救病人的生命至为重要；(5)动物实验研究表明，TEE可引导射频导管消融术时大头电极导管成功到位。

METHODS: Left coronary artery, mural coronary artery proximal end, mural coronary artery and mural coronary artery distal end of 10 patients with coronary artery bypass grafting were treated with heparin-saline and 4% glutaral.

用肝素-生理盐水和4%戊二醛溶液常规处理10例心肌桥冠脉搭桥术患者切除的左冠状动脉，取壁冠状动脉近段、壁冠状动脉段、壁冠状动脉远段，扫描电镜观察其血管内皮细胞和基膜特征。

Plunder melds and run with this jewel!

掠夺melds和运行与此宝石！

My dream is to be a crazy growing tree and extend at the edge between the city and the forest.

此刻，也许正是在通往天国的路上，我体验着这白色的晕旋。