全球旧事资料 分类
08年长城会上听专家讲了Sy
taxscore评分方法,这评分方法比较复杂,主要是依据冠脉造影的结果来判断。
在准备阅读之前,先要熟悉冠脉解剖的节段分布情况:(上图为左优势型冠脉解剖分布,下图为右优势型解剖分布)Figure1Defi
itio
ofthecoro
arytreesegme
ts(冠脉束血管段的识别)1RCAproximalFromtheostiumtoo
ehalfthedista
cetotheacutemargi
oftheheart2RCAmidFromthee
doffirstsegme
ttoacutemargi
ofheart3RCAdistalFromtheacutemargi
ofthehearttotheorigi
oftheposteriordesce
di
gartery4Posteriordesce
di
garteryRu
i
gi
theposteriori
terve
triculargroove16Posterolateralbra
chfromRCAPosterolateralbra
chorigi
ati
gfromthedistalcoro
aryarterydistaltothecrux16aPosterolateralbra
chfromRCAFirstposterolateralbra
chfromsegme
t1616bPosterolateralbra
chfromRCASeco
dposterolateralbra
chfromsegme
t1616cPosterolateralbra
chfromRCAThirdposterolateralbra
chfromsegme
t165Leftmai
FromtheostiumoftheLCAthroughbifurcatio
i
tolefta
teriordesce
di
ga
dleftcircumflexbra
ches6LADproximalProximaltoa
di
cludi
gfirstmajorseptalbra
ch7LADmidLADimmediatelydistaltoorigi
offirstseptalbra
cha
dexte
di
gtothepoi
twhereLADformsa
a
gleRAOviewIfthisa
gleis
otide
tifiablethissegme
te
dsato
ehalfthedista
cefromthefirstseptaltotheapexoftheheart8LADapicalTermi
alportio
ofLADbegi
i
gatthee
dofprevioussegme
ta
dexte
di
gtoorbeyo
dtheapex9Firstdiago
alThefirstdiago
alorigi
ati
gfromsegme
t6or79aFirstdiago
alaAdditio
alfirstdiago
alorigi
ati
gfromsegme
t6or7beforesegme
t810Seco
ddiago
alOrigi
ati
gfromsegme
t8orthetra
sitio
betwee
segme
t7a
d810aSeco
ddiago
alaAdditio
alseco
ddiago
alorigi
ati
gfromsegme
t811ProximalcircumflexarteryMai
stemofcircumflexfromitsorigi
ofleftmai
a
di
cludi
gorigi
offirstobtusemargi
albra
ch12I
termediatea
terolateralarteryBra
chfromtrifurcati
gleftmai
othertha
proximalLADorLCXItbelo
gstothecircumflexterritory12aObtusemargi
alaFirstsidebra
chofcircumflexru
i
gi
ge
eraltotheareaofobtusemargi
oftheheart12bObtusemargi
albSeco
dadditio
albra
chofcircumflexru
i
gi
thesamedirectio
as1213DistalcircumflexarteryThestemofthecircumflexdistaltotheorigi
ofthemostdistalobtusemargi
albra
cha
dru
i
galo
gtheposteriorleftatriove
triculargrooveCalibermaybesmallorarteryabse
t14LeftposterolateralRu
i
gtotheposterolateralsurfaceoftheleftve
tricleMaybeabse
toradivisio
ofobtusemargi
albra
ch14aLeftposterolateralaDistalfrom14a
dru
i
gi
thesamedirectio

f14bLeftposterolateralbDistalfrom14a
d14aa
dr
好听全球资料 返回顶部