? 發問時間: 健康疾病與處置其他:疾病 · 1 0 年前

請幫我翻譯cath報告

Cath(96/10/03)

CAG: LAD:P/3-M/3 long segmental 70% stenosis septall perforator provides collateral flow to RCA

Lcx:OM, ostium 75% stenosis, collateral flow to RCA, PLB

RCA:Total occlusion from ostium, cannot be engaged by JR4 guiding

AoG:RCA ostium cannot be seen. No AR. No pull back pressure

gradient between LV&Ao

OP: CABGx4 Lima-LAD SVG-Cx Diag PL on 96/10/22

主要是縮寫名詞看不懂

有些查字典查不到

我自己的翻譯是

左前下行冠狀動脈:在近端三分之一到中間三分之一處有70%的

狹窄 提供旁系分流到右冠狀動脈(意思怪怪的= =)

左旋支:OM(OM全名是甚麼?)有75%的狹窄,分流到RCA 和PLB(PLB是啥)

右冠狀動脈:完全阻塞 後面這句完全不懂..JR4是甚麼??要引導甚麼去engaged??

AoG(??):RCA ostium cannot be seen. No AR. No pull back pressure

gradient between LV&Ao(???)

幫幫我吧

謝謝

還有後面動的手術名稱Lima是甚麼???全部的意思是拿SVG去換那些地方的血管嗎??

謝謝

已更新項目:

可是我沒有無敵...

3 個解答

評分
  • 1 0 年前
    最佳解答

    Cath( 96/10/03)

    96年10月3日心導管檢查

    CAG

    冠狀動脈血管攝影(Coronary Arteriography)結果

    LAD:P/3-M/3 long segmental 70% stenosis septall perforator provides collateral flow to RCA

    左前降枝近端三分之一處至遠端三分之一處有一長段達70%狹窄程度,但中隔分枝廔口提供了側枝循環血流至右冠狀動脈(因為右冠狀動脈全塞住了,但左前降枝有發展出細小的血管-側枝循環去供應其缺血部份之不足)

    Lcx:OM , ostium 75% stenosis, collateral flow to RCA, PLB

    左迴旋枝之左邊緣動脈(或稱鈍緣分枝,left marginal artery或稱obtuse marginal artery)開口處有75%狹窄,有側枝循環血流灌注至右冠狀動脈及後側分枝(posterior lateral branch)

    RCA:Total occlusion from ostium, cannot be engaged by JR4 guiding

    右冠狀動脈自開口處即全狹窄,無法使用JR4.0(導管種類)的導管導引進入操作

    圖片參考:http://www.kardiologie-praxis.de/bilder/JR4.jpg

    JR4.0 (http://www.kardiologie-praxis.de/Herzkatheter.htm)

    AoG:RCA ostium cannot be seen. No AR. No pull back pressure gradient between LV&Ao

    主動脈血管攝影(aortography)結果:右冠狀動脈開口無法看到.無主動脈逆流(aortic regurgitation).左心室與主動脈間無回拉之壓力梯度差(有壓力差別則表示兩者之間有狹窄阻塞存在)

    OP: CABGx4 Lima-LAD SVG-Cx Diag PL on 96/10/22

    手術:96年10月22日行冠狀動脈繞道手術於四處: 1.左內乳動脈-前降枝(LIMA-LAD)血管橋(圖可參考http://www.transonic.com/cardiac.shtml), 隱靜脈移植血管(saphenous vein graft)於2.迴旋枝 3.對角枝( Diagonal branch)4. 後側枝(posterolateral branch)

    圖片參考:http://www.earlywarninghealth.net/Heart3.jpg

    http://www.earlywarninghealth.net/Heart.html

    圖片參考:http://www.cardiologysite.com/assets/images/l_coro...

    http://www.cardiologysite.com/html/cx.html

    圖片參考:http://www.meddean.luc.edu/lumen/meded/Radio/curri...

    http://www.meddean.luc.edu/lumen/meded/Radio/curri...

    參考資料: 心血管加護病房工作經驗
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  • 1 0 年前

    用無敵一定查ㄉ到喔用無敵一定查ㄉ到喔用無敵一定查ㄉ到喔用無敵一定查ㄉ到喔

    參考資料:
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  • 匿名使用者
    5 年前

    Cath NO:2C6725

    Clinical Diagnosis:AMI-NSTEMI

    Indication for cath:ACS

    Approach: L t Radial Artery

    Post-Cath Diagnosis:CAD(1-V-D)

    Procedure:L t heart cath; Coronary angio; LV Angio

    Engaging catheter:RCA: JR4.0; LCA: JL3.5; LV: Pigtail

    LVEF:42.5%

    Global:Hypokinesis

    Left Ventriculogram:2.Anterolateral:Hypokinesis, 3.Apical:Hypokinesis, 4.D-

    iagragmatic:Hypokinesis

    LVEDP:13->12mmHg; LV->AO pressure Gradient:0

    Dominant:RCA

    LM:Normal;

    LAD-M:Type B, Stenosis:95%; TIMI flow:3; Calcium:Moderate or heavy

    LCX:Normal;

    RCA:Normal;

    Collaterals:Nil

    Suggest:After discussing with patient and family members about necessarity,

    benefits, risks and complications of coronary revascularization,

    they choose PCI to treat disease.

    PTCA No:2P3933

    Clinical Diagnosis:AMI-NSTEMI

    Post Coronary Angiography Diagnosis:CAD(1-V-D)

    Post PCI Diagnosis: Successful PCI with stent DES Xience Xpedition 3.5x18mm to

    LAD-M

    Pre-PTCA intervention:Non

    Procedure:1-V

    Finding:

    LAD-M:

    Under support of Medtronic EBU3.5,6Fr Boston JL3.5,6Fr and ASAHI SION wire via

    L t Radial Artery approach, we dilated the 95% of stenosis LAD-M with Hiryu

    3.5x15mm, 10 ATM and 80% RS was noted, then we deployed DES Xience Xpedition

    3.5x18mm up to 10 ATM(3.49mm). The final outcome looks good.

    Complication:None

    Contrast Volume:170ml

    Comments:

    1.Send patient to OB room for overnight observation.

    2.Start dual antiplatelet agents and educate this patient to receive

    regular medication.

    3.If no complication occurs, we will let patient discharge with medication

    tomorrow.

    4.If chest pain or unstable hemodynamic status occurred, check ECG stat

    and check CKMB, CK, troponin 4 hour later.

    5.Please notify CV man if this condition deteriorated.

    Signed:

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