下肢动脉粥样硬化疾病诊治原则42课件.ppt

1、The Recommendations of the Diagnosis and Management for the Patients with Lower Extremity Atherosclerotic Disease(2007)北美北美3000万患者，高危人群发病率万患者，高危人群发病率20-30%北京北京西欧西欧60岁以上人群发病率岁以上人群发病率20%1.Eur J Vasc Endovasc Surg 2000;19(suppla):S1-S250.2.Journal of Vascular Surgery,August 2006;44(2):333-338.3.Heart 2

2、007;93;303-308心梗卒中风险*增加4倍倍3倍倍1.Arch Neurol.1992;49:857-863.2.N Engl J Med.1992;326:381-6*与正常人比较400200Am J Cardiol 2001;87(suppl):3D-13D心脏事件心脏事件非血管事件非血管事件脑血管事件脑血管事件其他血管事件其他血管事件75%的的PAD患者死于心脑血管事件患者死于心脑血管事件 时间时间 作者与文献作者与文献 例数例数(例例)年龄年龄(岁岁)人群人群患病率患病率(%(%，男，男/女女)1987 Gofin R,Kark JD,et al 3 159235Jerusal

3、em 血脂研究人群血脂研究人群4.6(4.2/5.4)1991 Fowkes FG,Housley E,et al 4 15925574Edinburgh 动脉研究人群动脉研究人群9.01993 Newman AB,Siscovick DS,et al5 508465心血管健康研究人群心血管健康研究人群12.41998 Meijer WT,et al6 771555Rotterdam研究人群研究人群19.1(16.9/20.5)1998 Hooi JD,Stoffers HE,et al7 36504078Limburg 周围动脉疾病研究人周围动脉疾病研究人群群12.42000 Gray RS

4、,Fabsitz RR,et al8 45494574Strong Heart 研究人群研究人群5.32001 Hirsch AT,Criqui MH,et al9 69795069;70PARTNERS 计划人群计划人群292002 Murabito JM,Evans JC,et al10 331340Framingham 研究人群研究人群3.62003 李小鹰，王洁李小鹰，王洁 等等11-13 2124 60-95北京万寿路地区老年居民北京万寿路地区老年居民16.4(12.7/18.1)2005 刘成国刘成国,阮连生阮连生 等等14 2668 35浙江舟山渔民浙江舟山渔民2.1(3/1.2

5、)2006 魏毅东，胡大一魏毅东，胡大一 等等15 2115 32-91代谢综合征人群代谢综合征人群22.5(21.7/23.4)2007 管珩，田浩明管珩，田浩明 等等16 1347 50 糖尿病患者糖尿病患者19.4(18.3/20.4)期临床表现级类别临床表现I无症状00无症状IIa轻微跛行I1轻微跛行IIb中至重度跛行I2中度跛行I3重度跛行III缺血性静息痛II4缺血性静息痛IV溃疡或坏疽III5轻度组织丧失IV6溃疡或坏疽The Recommendations of the Diagnosis and Management for the Patients with Lower E

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