l*****o 发帖数: 835 | 1 爸爸(高脂血、高血压)现在每走路300米腿酸,需要休息。
经检查确定为动脉硬化闭塞症。
颈动脉左右血管堵塞60%-70% ,只剩30-40%可流通,但没有头晕症状,
肾动脉左 60%,右Ok.
医生建议在颈动脉和肾动脉左血管装支架(4-5)
我在百度查,有以下几种疗法
1)经皮球囊血管成形术 (PTA)
2)血管内支架
3)血管腔内硬化斑块旋切术
似乎血管腔内支架成型术是国内比较成熟的技术。how long will it be effective?
有人知道美国通常怎么治? 动脉硬化闭塞症英文是什么(so I can google)? |
a**e 发帖数: 5094 | 2 说国内医生水平高的赶紧过来看~
【在 l*****o 的大作中提到】 : 爸爸(高脂血、高血压)现在每走路300米腿酸,需要休息。 : 经检查确定为动脉硬化闭塞症。 : 颈动脉左右血管堵塞60%-70% ,只剩30-40%可流通,但没有头晕症状, : 肾动脉左 60%,右Ok. : 医生建议在颈动脉和肾动脉左血管装支架(4-5) : 我在百度查,有以下几种疗法 : 1)经皮球囊血管成形术 (PTA) : 2)血管内支架 : 3)血管腔内硬化斑块旋切术 : 似乎血管腔内支架成型术是国内比较成熟的技术。how long will it be effective?
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A*******s 发帖数: 9638 | 3 Google peripheral vascular disease and vascular claudication. |
l*****o 发帖数: 835 | 4 Thank you for your help.
【在 A*******s 的大作中提到】 : Google peripheral vascular disease and vascular claudication.
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l*****o 发帖数: 835 | 5 爸爸(高脂血、高血压)现在每走路300米腿酸,需要休息。
经检查确定为动脉硬化闭塞症。
颈动脉左右血管堵塞60%-70% ,只剩30-40%可流通,但没有头晕症状,
肾动脉左 60%,右Ok.
医生建议在颈动脉和肾动脉左血管装支架(4-5)
我在百度查,有以下几种疗法
1)经皮球囊血管成形术 (PTA)
2)血管内支架
3)血管腔内硬化斑块旋切术
似乎血管腔内支架成型术是国内比较成熟的技术。how long will it be effective?
有人知道美国通常怎么治? 动脉硬化闭塞症英文是什么(so I can google)? |
a**e 发帖数: 5094 | 6 说国内医生水平高的赶紧过来看~
【在 l*****o 的大作中提到】 : 爸爸(高脂血、高血压)现在每走路300米腿酸,需要休息。 : 经检查确定为动脉硬化闭塞症。 : 颈动脉左右血管堵塞60%-70% ,只剩30-40%可流通,但没有头晕症状, : 肾动脉左 60%,右Ok. : 医生建议在颈动脉和肾动脉左血管装支架(4-5) : 我在百度查,有以下几种疗法 : 1)经皮球囊血管成形术 (PTA) : 2)血管内支架 : 3)血管腔内硬化斑块旋切术 : 似乎血管腔内支架成型术是国内比较成熟的技术。how long will it be effective?
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A*******s 发帖数: 9638 | 7 Google peripheral vascular disease and vascular claudication. |
l*****o 发帖数: 835 | 8 Thank you for your help.
【在 A*******s 的大作中提到】 : Google peripheral vascular disease and vascular claudication.
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l*****o 发帖数: 835 | 9 After google, it seems US won't recommend surgery for my dad's case.
国内现在医院都是产业化,追求.利润,能开刀就不开药,这都什么事儿啊。
【在 A*******s 的大作中提到】 : Google peripheral vascular disease and vascular claudication.
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A*******s 发帖数: 9638 | 10 Now you understand what Acne talked about. :)
【在 l*****o 的大作中提到】 : After google, it seems US won't recommend surgery for my dad's case. : 国内现在医院都是产业化,追求.利润,能开刀就不开药,这都什么事儿啊。
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l*****o 发帖数: 835 | 11 xiexie.
【在 A*******s 的大作中提到】 : Now you understand what Acne talked about. :)
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c**********m 发帖数: 2088 | 12 多吃菜,多喝水,少吃肉蛋奶。
【在 l*****o 的大作中提到】 : 爸爸(高脂血、高血压)现在每走路300米腿酸,需要休息。 : 经检查确定为动脉硬化闭塞症。 : 颈动脉左右血管堵塞60%-70% ,只剩30-40%可流通,但没有头晕症状, : 肾动脉左 60%,右Ok. : 医生建议在颈动脉和肾动脉左血管装支架(4-5) : 我在百度查,有以下几种疗法 : 1)经皮球囊血管成形术 (PTA) : 2)血管内支架 : 3)血管腔内硬化斑块旋切术 : 似乎血管腔内支架成型术是国内比较成熟的技术。how long will it be effective?
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m********4 发帖数: 607 | 13 “爸爸(高脂血、高血压)现在每走路300米腿酸”-这是症状,只做颈动脉,肾动脉
照影是不够的,其它供应下肢的动脉血管也需要检查。症状已经出现了,加上高脂血、
高血压, 经检查确定为动脉硬化闭塞症这些危险因素,还是要认真对待。
你父亲的肾功能如何?高血压控制是否在理想状态?这些都是医生给患者建议时要考虑
。 在这里并没有这方面的信息。
我个人的行医体会,当症状已经出现了,导致症状形成的病理生理过程已经进展到中晚
期, 如果这时再不引起重视,结果不用说,大家也能想到。
一般医生的建议不会是空穴来风,只为挣钱,无论美国还是国内,绝大多数医生还是有
职业道德的。
【在 l*****o 的大作中提到】 : 爸爸(高脂血、高血压)现在每走路300米腿酸,需要休息。 : 经检查确定为动脉硬化闭塞症。 : 颈动脉左右血管堵塞60%-70% ,只剩30-40%可流通,但没有头晕症状, : 肾动脉左 60%,右Ok. : 医生建议在颈动脉和肾动脉左血管装支架(4-5) : 我在百度查,有以下几种疗法 : 1)经皮球囊血管成形术 (PTA) : 2)血管内支架 : 3)血管腔内硬化斑块旋切术 : 似乎血管腔内支架成型术是国内比较成熟的技术。how long will it be effective?
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m********4 发帖数: 607 | |
R*******t 发帖数: 367 | 15 Carotid stenosis and renal artery stenosis at 60-70% is not critical. I have
seen a lot of patients follow even more severe stenosis.
Your father eventually needs diagnostic angiogram with aortic and bilateral
lower extremities run-off to evaluate for occlusion. Or he should at least
get arterial dopplers to check the waveforms and ABI (ankle brachial index)
first. |
R*******t 发帖数: 367 | 16 Do no harm. If he is relatively young and doesn't have symptoms from carotid
and renal stenosis, why putting him through those invasive procedures?
Average arterial stents have 3-year patency of ~75%. PTA has 40-50%.
What he needs at this moment is solving his claudications. Later on he
should adjust his life style, diet, with necessary medications, to lower his
blood lipid and slow down his atherosclerosis.
【在 l*****o 的大作中提到】 : 爸爸(高脂血、高血压)现在每走路300米腿酸,需要休息。 : 经检查确定为动脉硬化闭塞症。 : 颈动脉左右血管堵塞60%-70% ,只剩30-40%可流通,但没有头晕症状, : 肾动脉左 60%,右Ok. : 医生建议在颈动脉和肾动脉左血管装支架(4-5) : 我在百度查,有以下几种疗法 : 1)经皮球囊血管成形术 (PTA) : 2)血管内支架 : 3)血管腔内硬化斑块旋切术 : 似乎血管腔内支架成型术是国内比较成熟的技术。how long will it be effective?
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c**********m 发帖数: 2088 | 17 very nice comments.
carotid
his
【在 R*******t 的大作中提到】 : Do no harm. If he is relatively young and doesn't have symptoms from carotid : and renal stenosis, why putting him through those invasive procedures? : Average arterial stents have 3-year patency of ~75%. PTA has 40-50%. : What he needs at this moment is solving his claudications. Later on he : should adjust his life style, diet, with necessary medications, to lower his : blood lipid and slow down his atherosclerosis.
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A*******s 发帖数: 9638 | 18 I had a patient who has asymptomatic carotid stenosis. He had a CEA and
ended up with a complete carotid occlusion and a large infarct.
carotid
his
【在 R*******t 的大作中提到】 : Do no harm. If he is relatively young and doesn't have symptoms from carotid : and renal stenosis, why putting him through those invasive procedures? : Average arterial stents have 3-year patency of ~75%. PTA has 40-50%. : What he needs at this moment is solving his claudications. Later on he : should adjust his life style, diet, with necessary medications, to lower his : blood lipid and slow down his atherosclerosis.
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M**********e 发帖数: 4237 | 19 只吃素菜,米饭,天天按时吃降压药。
血府逐瘀汤
出《医林改错》方叙方。组成:当归、生地各三钱,桃仁四钱,红花三钱,枳壳、赤芍
药各二钱,柴胡一钱,甘草二钱,桔梗一钱半,川芎一钱半,牛膝三钱
【在 l*****o 的大作中提到】 : 爸爸(高脂血、高血压)现在每走路300米腿酸,需要休息。 : 经检查确定为动脉硬化闭塞症。 : 颈动脉左右血管堵塞60%-70% ,只剩30-40%可流通,但没有头晕症状, : 肾动脉左 60%,右Ok. : 医生建议在颈动脉和肾动脉左血管装支架(4-5) : 我在百度查,有以下几种疗法 : 1)经皮球囊血管成形术 (PTA) : 2)血管内支架 : 3)血管腔内硬化斑块旋切术 : 似乎血管腔内支架成型术是国内比较成熟的技术。how long will it be effective?
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R*******t 发帖数: 367 | 20 Me too. Right before thanksgiving last year, a patient walked in for a
diagnostic cardiac cath, probably thinking he could rest a little during the
holiday time off. He ended up having dislodged emboli into his basilar
artery and infarcted both his cerebellums.... He was in the units for about
10 days before he passed. It was very sad to see his cerebellums got swollen
, then slowly dissolved away, day by day.
There are always risks for those interventions. Gotta think twice before
putting loved ones through all that, unless the benefits are absolutely
over the risks.
【在 A*******s 的大作中提到】 : I had a patient who has asymptomatic carotid stenosis. He had a CEA and : ended up with a complete carotid occlusion and a large infarct. : : carotid : his
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n*******c 发帖数: 501 | 21 It is called occulo-stenosis reflex which is used in coronary angioplasty“
irresistible temptation … to perform angioplasty on any significant
residual stenosis,” here even an angiographically severe stenosis may not
cause ischemia not to mention those nonsignificant ones. |