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急性心肌梗死多是在冠脉严重狭窄基础上发生斑块破裂,激活血小板及内凝血系统形成血栓,导致冠脉完全闭塞而发生。正常冠状动脉较少发生心肌梗死。在我院近年收治的143例心肌梗死行冠脉造影的病人中,发现6例心肌梗死患者冠脉影像正常,现报告如下并探讨其发病机理。 资料与方法 1.一般资料 (1)6例显示冠脉影像正常。其中男5例、女1例,年龄39～68岁,平均48.5岁。梗死部位:下壁2例,下壁伴正后壁1例,高侧壁、前间壁及单纯正后壁各1例。6例病人均有典型的胸
Acute myocardial infarction is mostly based on severe coronary stenosis plaque rupture, activation of platelets and thrombosis within the coagulation system, resulting in complete occlusion of the coronary artery. Coronary heart disease less common myocardial infarction. In our hospital in recent years, 143 cases of myocardial infarction coronary angiography in patients, found in 6 cases of myocardial infarction patients with normal coronary arteries, are reported as follows and explore its pathogenesis. Materials and Methods 1. General Information (1) 6 cases showed normal coronary arteries. Including 5 males and 1 females, aged 39 to 68 years, an average of 48.5 years old. The infarction site: 2 cases of inferior wall, 1 case of inferior wall with positive posterior wall, 1 case of high lateral wall, anterior wall and posterior wall. 6 patients have a typical chest