主動(dòng)脈瓣重度狹窄患者癥狀出現(xiàn)與否的手術(shù)選擇
發(fā)布時(shí)間:2019-06-04 06:03
【摘要】:主動(dòng)脈瓣狹窄(aortic stenosis,AS)是65歲以上老年人最常發(fā)生的心臟瓣膜病,表現(xiàn)為最初以主動(dòng)脈瓣葉硬化開始的緩慢進(jìn)展性疾病,從最初瓣葉局部的增厚硬化發(fā)展到瓣膜運(yùn)動(dòng)障礙,最終形成重度AS,病情進(jìn)展不可逆。隨著全球人口老齡化的大勢(shì)所趨,AS的患病率逐年提高。對(duì)AS的結(jié)構(gòu)改變尚缺乏有效的藥物治療,心外科手術(shù)是治療AS的重要手段。AS已成為心外科常見多發(fā)病,而無癥狀重度AS的手術(shù)時(shí)機(jī)的選擇還存在爭(zhēng)論,需深入研究。本文即對(duì)無癥狀重度AS近年來的研究進(jìn)展尤其是手術(shù)治療做一綜述,以提高臨床醫(yī)師對(duì)該病的認(rèn)識(shí),為臨床診治AS提供參考。
[Abstract]:Aortic stenosis (aortic stenosis,AS) is the most common valvular disease in the elderly over 65 years old. it is characterized by a slow progressive disease that begins with aortic lobe sclerosis, from local thickening of the initial lobe to valvular dyskinesia. Finally, the progress of severe AS, was irreversible. With the trend of global population aging, the prevalence of AS is increasing year by year. There is still a lack of effective drug treatment for the structural changes of AS. Cardiac surgery is an important method for the treatment of AS. As has become a common disease in cardiac surgery, and the choice of surgical timing of asymptomatic severe AS is still controversial and needs to be further studied. In this paper, the research progress of asymptomatic severe AS in recent years, especially surgical treatment, is reviewed in order to improve clinicians' understanding of the disease and provide reference for clinical diagnosis and treatment of AS.
【學(xué)位授予單位】:河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2016
【分類號(hào)】:R654.2
本文編號(hào):2492523
[Abstract]:Aortic stenosis (aortic stenosis,AS) is the most common valvular disease in the elderly over 65 years old. it is characterized by a slow progressive disease that begins with aortic lobe sclerosis, from local thickening of the initial lobe to valvular dyskinesia. Finally, the progress of severe AS, was irreversible. With the trend of global population aging, the prevalence of AS is increasing year by year. There is still a lack of effective drug treatment for the structural changes of AS. Cardiac surgery is an important method for the treatment of AS. As has become a common disease in cardiac surgery, and the choice of surgical timing of asymptomatic severe AS is still controversial and needs to be further studied. In this paper, the research progress of asymptomatic severe AS in recent years, especially surgical treatment, is reviewed in order to improve clinicians' understanding of the disease and provide reference for clinical diagnosis and treatment of AS.
【學(xué)位授予單位】:河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2016
【分類號(hào)】:R654.2
【參考文獻(xiàn)】
相關(guān)期刊論文 前1條
1 Minako Katayama;Hari P Chaliki;;Diagnosis and management of patients with asymptomatic severe aortic stenosis[J];World Journal of Cardiology;2016年02期
,本文編號(hào):2492523
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