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目的分析临床有明显心绞痛症状,静息心电图无ST-T改变,冠状动脉造影出现狭窄的冠心病患者,并探讨其发生的原因。方法收集105例经冠状动脉造影证实冠心病患者,对其临床症状、静息心电图和其他辅助检查、冠状动脉造影进行分析。结果43例患者静息心电图无ST-T改变,21例有1～3支冠状动脉血管病变。结论患者出现反复胸痛、胸闷、心前区不适等症状,静息心电图无ST-T改变,其他的辅助检查结果对诊断帮助不明显时,应多考虑患者临床症状,尽快做冠状动脉造影明确诊断,以免漏诊、误诊,延误病情。
Objective To analyze the clinical manifestations of angina pectoris, resting electrocardiogram without ST-T changes, coronary angiography in patients with coronary heart disease and to explore its causes. Methods 105 patients with coronary heart disease confirmed by coronary angiography were collected and analyzed for clinical symptoms, rest electrocardiogram and other auxiliary examinations and coronary angiography. Results There were no ST-T changes in resting electrocardiogram in 43 patients, and 1 to 3 coronary artery lesions in 21 patients. Conclusion Patients with recurrent chest pain, chest distress, precordial discomfort and other symptoms, ST-T resting ECG changes, other auxiliary examination results to help diagnosis is not obvious, should consider the clinical symptoms of patients as soon as possible to make a clear diagnosis of coronary angiography , So as to avoid misdiagnosis, misdiagnosis, delay the disease.