老年性库瓣膜性心脏病---主动脉瓣狭窄.pptVIP

老年性瓣膜性心脏病 ---主动脉瓣狭窄 卫生部北京医院 何青 内 容 老龄和瓣膜病 老年AS 的临床特点 老年AS 的治疗策略 内 容 老龄和瓣膜病 老年AS 的临床特点 老年AS 的治疗策略 1854 William Stokes 在他的教科书 “The diseases of the heart and the aorta”中描述钙化性主动脉瓣病的特征为： (1) permanent patency of the valve in which the diameter may be increased or diminished; (2) an extreme ossific growth along the valve surrounding the ventricle, at which the valves are often destroyed; (3) an atheromatous deposit on the ventricular surface of the valve which is often seen in the context of fatty degeneration of the heart. 1904年Monchkebery 首先发现人在自然衰老过程中会出现退行性变，引起主动脉瓣的钙化、狭窄。 1910年Dewis