【2017年整理】糖尿病外周血管疾病诊断与治疗.pptVIP

糖尿病外周血管病变诊断与治疗 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 1、糖尿病外周血管病变的定义 2、糖尿病外周血管病变临床特征 3、糖尿病外周血管病变发病机理 4、糖尿病外周血管病变的诊断与治疗 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 什么是糖尿病外周血管病变？ 糖尿病外周血管病变是指与糖尿病相 关的，由于脂代谢紊乱，内分泌失调，激素调节异常，动脉内皮损伤，血小板聚集黏附力增强以及微血管病变和微循环障碍而引起的动脉粥样硬化，内皮纤维增生， 血管腔狭窄或闭塞。可导致远端脏器，肢体缺血缺氧而出现相应的临床症状。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 外周血管病变 周围动脉粥样硬化导致动脉狭窄，甚至发生闭塞，使远端组织出现相应缺血痉挛或坏死。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 可怕的糖尿病并发症 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 可怕的糖尿病并发症！ 脂肪肝 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 糖尿病眼底病变 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 糖尿病外周血管病变临床特征 糖尿病周围大血管病变，常因动脉硬化，狭窄闭塞而引起相应症状，常见于二型糖尿病，动脉硬化是由综合因素引起，与糖尿病病情不一定成正比，有时轻型糖尿病动脉硬化也很严重。根据缺血部位和程度的不同，可出现不同的症状和体征。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 糖尿病外周血管病变临床特征 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 糖尿病外周血管病变临床特征 下肢间歇性跛行 静息性肢体疼痛 皮温下降，肢端坏疽 高血压 眩晕，短暂性脑缺血发作（TIA），脑梗塞 心脏表现为心肌梗塞等 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 发病机理？ 糖代谢障碍，下肢供养减少 肢体血管自主神经病变，血管运动减弱 静脉血流瘀滞血流自动调节障碍 动脉血管闭塞和缺血，血小板活化产生血栓素A2（TXA2）使血小板凝集和血管收缩，下肢末梢动脉闭塞引起缺血，导致糖尿病外周血管病变（LED）。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright