主动脉瓣重度狭窄患者症状出现与否的手术选择
发布时间:2019-06-04 06:03
【摘要】:主动脉瓣狭窄(aortic stenosis,AS)是65岁以上老年人最常发生的心脏瓣膜病,表现为最初以主动脉瓣叶硬化开始的缓慢进展性疾病,从最初瓣叶局部的增厚硬化发展到瓣膜运动障碍,最终形成重度AS,病情进展不可逆。随着全球人口老龄化的大势所趋,AS的患病率逐年提高。对AS的结构改变尚缺乏有效的药物治疗,心外科手术是治疗AS的重要手段。AS已成为心外科常见多发病,而无症状重度AS的手术时机的选择还存在争论,需深入研究。本文即对无症状重度AS近年来的研究进展尤其是手术治疗做一综述,以提高临床医师对该病的认识,为临床诊治AS提供参考。
[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.
【学位授予单位】:河北医科大学
【学位级别】:硕士
【学位授予年份】:2016
【分类号】:R654.2
本文编号: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.
【学位授予单位】:河北医科大学
【学位级别】:硕士
【学位授予年份】:2016
【分类号】:R654.2
【参考文献】
相关期刊论文 前1条
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
,本文编号:2492523
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