患者王某某,女,72岁,于20余天前反复出现胸痛症状,于“通辽市某三甲医院”住院治疗,诊断为“冠状动脉粥样硬化性心脏病”,行冠脉造影检查示“三支病变”,建议冠脉搭桥治疗,为进一步治疗而来我院。
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入院后考虑患者近期急性非ST段抬高型心肌梗死,合并有心力衰竭、慢性肾功能不全。诊疗计划:针对病因、纠正心衰、改善肾功等治疗,病情改善后择期行冠脉介入治疗。
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患者病情改善后,行冠脉造影检查示:
![](https://epss-volc.jianpian.info/biz/c77ce172481f41928af6a1c8186e2248.gif)
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左冠状动脉造影示:前降支近段100%闭塞。
00:07
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左冠状动脉造影示:回旋支中段管状狭窄90-95%
00:04
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右冠状动脉造影示:近中段弥漫狭窄70-80%,远段100%闭塞。
00:06
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手术策略:行前降支及回旋支介入治疗。
![](https://epss-volc.jianpian.info/biz/c77ce172481f41928af6a1c8186e2248.gif)
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导丝通过前降支血管闭塞段。
00:02
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前降支血管闭塞段球囊扩张
00:04
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球囊扩张后血管再通,前降支近段残余弥漫狭窄80-90%。
00:04
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前降支植入支架2枚,血流恢复。
00:05
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球囊扩张回旋支病变。
00:03
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回旋支植入支架1枚,血流恢复。
00:04
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患者前降支、回旋支狭窄解除,间隔支为右冠状动脉提供侧枝循环。患者心脏供血得到明显改善。
00:04
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术后患者安返病房,病情好转,同时也解除了对患者冠脉搭桥的恐惧。
![](https://epss-volc.jianpian.info/biz/c77ce172481f41928af6a1c8186e2248.gif)
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通辽市第二人民医院心血管内一科、心血管内二科是一支技术一流的团队,为通辽市人民保驾护航。
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