A person dies of apoplexy every 21 seconds in our country The seed of trouble of onset is actually in the shank
"Cerebral apoplexy and vascular disease of the brain have been the main reason that the countries all over the world cause death or disable all the time, and most cerebral apoplexy are that the brain blood vessel is ischemic to initiate, about 20-40% of the cerebral apoplexy relates to the fact that the short arterial carotis outside the cranium stops up pathological change. Therefore how strengthen and standardize the intersection of arterial carotis and narrow disease make a diagnosis technology become, prevent from importance and effective way that cerebral apoplexy have illness coming on. " The reporter learns while interviewing the heart of Chinese-Japan Friendship Hospital, blood vessel surgical chief physician Professor Liu Peng.
The report of World Health Organization reveals, the apoplexy of brain is second only to coronary heart disease and the third death reason of cancer in the whole world. In our country, apoplexy disable first rate at present and second fatality rates high to send disease, annual the whole country have illness coming on 2,500,000 example newly, die of patient of apoplexy, reach 1,500,000 every year. There are 7,500,000 to 8 million apoplexy patients now in China. In other words, probably someone dies of apoplexy every 21 seconds in our country, one have illness coming on examples newly, and increase progressively at the speed of 8.7% for every year, if does not take the strong measure of prevention and control, it is estimated in 2020 years, the population of vascular disease of the brain of China will double. On morbidity of apoplexy of brain and mortality, our country is far higher than American-European countries, belong to the hotspot. Already nearly 30 billion yuan of direct economic expenditure used for cerebral apoplexy every year of our country in recent years, this disease, not only the health of the people of danger, but also for the family, bring the serious financial burden to society.
According to the introduction of Professor Liu Peng, the disease seems to be in the brain to cause the apoplexy of brain and break out, in fact the seed of trouble, in the shank, most cerebral apoplexy are that the brain blood vessel is ischemic to initiate. The data show, the outbreak of 60% of the brain apoplexy is because a kind of sclerosis of porridge of the arterial carotis causes. Arterial carotis the intersection of branching and sclerosis, narrow and spot of thromboembolism that piece loss and cause or internal capsule continue send thrombus, can cause emergence that brain block up. Hypertension, hyperlipemia patient are the high-risk group of the apoplexy of brain. Therefore, treat sections of the intersection of arterial carotis and narrow goal prevent from piece loss, cause the intersection of artery and thromboembolism and arterial carotis narrow to aggravate, cause arterial carotis stop up and cause finally continuously because of the intersection of arteriosclerosis and class outside the cranium Brain blood scarce take place.
The narrow treatment including drug therapy, surgery of clinical arterial carotis treats and gets involved and treats three major kinds of methods, and the membrane excises the skill (CEA) in the arterial carotis Considered to treat the gold standard that the arterial carotis stops up disease. As to the thing that the endangering a patient, if this patient, with serious amalgamation disease or having difficult point on anatomy high of the operation, perform the operation mortality and incidence of complication will increase obviously, and arterial carotis blood vessel take shape and support plant into treat (CAS) Become better choice of treating this high-risk group.
In 2000, Liu Peng Professor launch the intersection of the first and " membrane peel in the internal capsule " in Chinese-Japan Friendship Hospital already The skill, not merely time is short, the result is good, and there is not any complication. Up until now, the vascular surgery of Chinese-Japan Friendship Hospital reaches the international standard in enclosing the period security development of operation of CEA and CAS. Its CEA and CAS launched look forward the prospect the test verify, it is about equal that CEA and CAS enclose the period security of operation, CAS narrower rate at a specified future date higher than CEA slightly. Through the innovative practices of several years, this centre treated the field in the arterial carotis to accumulate the abundant experience, and already entered clinical scientific research to integrate, the business develops, the fast and progressive new stage in an all-round way.
According to the introduction of Professor Liu Peng, though the membrane excises the skill (CEA) in the arterial carotis Started in 1954, ripe in the 1990s of last century, the operation example in foreign countries was counted and up to 100,000 per year. However, because this technology relatively launches late at home, only several centres have ready conditions to launch at present, have not got very good popularization and popularization. The range launched at home in narrow surgery treatment of arterial carotis is limited, the main reason is as follows, the diagnostic program is not enough for the norm; It is not enough to grasp therapeutic indication of surgery; The treatment after operation and operation of the operation is not overall; Have compatriot to understanding, arterial carotis of disease at the same time.
In the prevention and cure respect to cerebral apoplexy and vascular disease of the brain, Chinese Health Ministry particularly pays attention to, and specially established the general survey group, it is expert panel members that the department of cardiovascular surgery of Chinese-Japan Friendship Hospital is selected. The reporter still knows, prevent with the ischemic apoplexy in order to standardize the acute ischemic apoplexy to make a diagnosis and give treatment, neuropathy credit be known to Chinese Medical Association cerebrovascular diseases be lasted " the 2010 China apoplexy guide of making a diagnosis and giving treatments ischemics acute " a few days ago to be lasted grouped and>, this will further accelerate the standardized development journey of the brain apoplexy prevention and control of our country.
How about strengthen the prevention and cure of disease of arterial carotis, control the emergence of cerebral apoplexy actively, develop and propose higher requirement for of our country the intersection of clinic diagnosis and equilibration and standardization of technology, meanwhile, prevention and control reasonable to launch, get arduous challenge out of while being high-efficient for disease too. As to this, Professor Liu Peng calls upon, hopes to pass the government, association, hospital and common concern about arterial carotis disease of various circles of society, propagate and strengthen disease treatment and knowledge prevented from this constantly, in order to make more medical personnel even ordinary people understand and know narrow disease of the arterial carotis correctly, by its threat far away from cerebral apoplexy. (Reporter Liu JingTing Chen YeFei)
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