丁云生重疾不重技术方案.ppt

* In the RAO projection with no angulation, the main portion of the right coronary artery (RCA) appears to be well visualized. With 30 degree caudal angulation, the RCA is opened to view and two severe lesions are revealed. * Coronary artery bypass grafting (CABG) can be performed to overcome the obstructed or severely narrowed coronary artery. The aorta is linked to the blocked vessel distal to the site of obstruction by a blood vessel. The vessel used can either be the internal mammary artery or a vein, usually taken from the patient’s leg. Several grafts can be applied, and the anastomoses of the graft vessel can be used to link it to more than one coronary artery. This is called a “jump” or “skip” graft. If an internal mammary artery is used, it is sewn onto the diseased vessel distal to the lesion only, since it is already “attached” to the aorta anatomically. * PTCA - Percutaneous Transluminal Coronary Angioplasy A catheter is inserted through the artery, past the obstruction. A balloon on the catheter is inflated to compress the plaque and overstretch the vessel. PTCA causes a controlled injury to the vessel wall. In atherosclerotic lesions, plaque fracture and arterial wall stretching are the mechanisms enlarging the lumen. Enlarging the narrowed vessel restores blood and oxygen flow to the tissue. * Stents are mounted on a balloon catheter, which is advanced to the lesion site and then inflated. The balloon pushes the stent into the vessel wall. Then the balloon catheter is deflated and withdrawn leaving the stent in place. * * * * * * * * * * 糖尿病 直肠癌 糖尿病 结肠癌 意外 朱德 彭德怀 贺龙 陈毅 刘伯承 叶剑英 聂荣臻 罗荣桓 徐向前 林彪 心肺系统疾病 糖、高、心 尿毒症 肺结核、肝坏死 意外 希特勒帕金森、自杀 江青咽喉癌、自杀 王洪文肝癌 谢里夫·侯赛因 克林顿 心脏搭桥 里根 老年痴呆 叶利钦 小渊惠三 霍金 肌无力 罗京，央视《新闻联播》主持人，2009年6月5日因淋巴癌在北京逝世,终年48岁。 李钰，2009年3月14日晚22点48分，电视剧《情深深雨濛濛》方瑜扮演者、琼瑶女郎李钰，因患淋巴癌医治无效，在北京协和医院病逝，终年33岁。 陈晓旭，2007年5月13日因乳腺癌离开了人世, 终年42岁。 傅彪，著名演员，因肝癌于2005年8月31日在北京武