下肢动脉硬化闭症的诊治.doc

下肢动脉硬化闭塞症的诊治 下肢动脉硬化闭塞症（Atherosclerotic occlusion） 动脉硬化闭塞症（ASO）是一种常见病、多发病。在周围血管疾患中，动脉的狭窄、闭塞性或动脉瘤性病变，几乎大部分都是由动脉硬化所引起的。动脉硬化性病变一般是全身性疾患，好发于某些大、中型动脉。病变动脉壁增厚、变硬、伴有粥样斑块形成和钙化，并可继发血栓形成，致使动脉管腔狭窄或闭塞，肢体出现缺血症状。中国中医科学院西苑医院周围血管病科庄百溪 临 床 表 现 n 轻微主诉期（第一期）：患肢皮温降低、怕冷，或轻度麻木，活动后易疲劳，肢端易发生足癣感染而不易控制 n 间歇性跛行（第二期）：小腿间歇性跛行是下肢缺血型病变最常见的症状 n 静息痛期（第三期）：多发生于晚间，常睡眠中痛醒，抱膝而坐 n 组织坏死期（第四期）：发生肢体溃疡和坏疽 ASO伴足部溃疡感染继发足坏死 正常下肢动脉造影——髂动脉 正常下肢动脉造影——股动脉 正常下肢动脉造影——腘动脉 正常下肢动脉造影——足部动脉 治疗 1.一般治疗： 1）戒烟 2）控制高血压 3）降血脂 4）控制血糖 5）肢体保暖 6）运动疗法 2.药物治疗：抗凝、祛聚、扩张血管、前列腺素类药物、溶栓治疗、镇痛治疗、降纤酶类药物等 3.手术治疗：1）动脉内膜切除术 2）依据闭塞部位不同可选择不同的旁路转流术： 腹主动脉－股动脉搭桥术 腋动脉－股动脉搭桥术 股动脉－股动脉搭桥术 股－腘动脉搭桥术 大隐静脉原位转流术 4. 介入治疗：经皮腔内血管成形术及支架置入术 customer qualification preliminary examination of the material of the borrower for the loan person, determine whether you meet the loan conditions standard specification for details of the conditions the fifth chapter 5.1 loans and borrower conditions . 3. agree loan person decides to accept, according to interviews ... First, the jurisdiction of the head office, branches and risk management, operational management should be strengthened on the Bank personal loan monitoring, inspection, management and guidance. Second, related personnel irregularities, according to qilu bank credits operational responsibility and accountability for implementation and the qilu bank employee violations of regulations dealing with regulations and other relevant rules of punishment and accountability. 9. According to file, and related system file 9.1 according to file a, and loan General II, and personal loan management provisional approach 9.2 related system file qilu Bank personal loan management approach 10. records table single records table single 1: personal loan customer talk record records table single 2: personal borrowing applications records table single 3: personal loan income proved records table single 4: personal loan survey declared table records table single 5: authorized Attorney sample records table single 6: Personal most hi