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张鸿坤：下肢动脉硬化闭塞症诊治指南解读——概述

2015-10-12 MedSci MedSci原创

下肢动脉硬化闭塞症诊治指南解读
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2015.10.8日由长海医院血管外科主办的2015年国际腔内血管学大会在上海隆重开幕，10月10日来自浙江大学附属第一医院的张鸿坤教授为我们大概解读了下肢动脉硬化闭塞症诊治指南。 1.国外下肢动脉疾病的主要指南一览 2006年 SIGN苏格兰PAD诊治指南 2007年 TASC——迄今为止比较全面的论述外周动脉疾病诊治的指南性文件，对临床有重要的指导



2015.10.8日由长海医院血管外科主办的2015年国际腔内血管学大会在上海隆重开幕，10月10日来自浙江大学附属第一医院的张鸿坤教授为我们简要解读了下肢动脉硬化闭塞症诊治指南。

1.国外下肢动脉疾病的主要指南一览

2006年 SIGN苏格兰PAD诊治指南

2007年 TASC第2版PAD管理指南——迄今为止比较全面的论述外周动脉疾病诊治的指南性文件，对临床有重要的指导意义。

2011年 ACCF/AHA PAD患者管理指南

2011年ESC PAD诊断和治疗指南：治疗方面对跛行与严重缺血患者进行了区分；强调了多学科合作的重要性。 

2015年美国血管外科学会（SVS）下肢动脉粥样硬化闭塞性疾病指南：无症状性疾病和间歇性跛行的管理

2.中国现有的下肢动脉疾病方面的指南/共识

2006年 下肢动脉疾病诊疗的专家共识——胡大一，杨进刚

2007年下肢动脉粥样硬化性疾病诊治中国专家建议——中华医学会医学分会，中华医学会心血管分会，中华医学会外科分会血管外科组

2008年 下肢动脉硬化性闭塞症治疗指南——中华医学会外科学分会血管外科学组

3.2015年中国下肢动脉硬化闭塞症诊治指南发布，本指南：

由中华医学会外科学分会血管外科学组织；

以2011年卫生部颁布的下肢动脉硬化闭塞症诊断标准及2009年学组编写的外周动脉疾病诊治标准为基础；

参考2011年ESC和2011年ACCF/AHA发布的相关指南；

结合中国下肢动脉硬化闭塞症的临床诊治特点修改而制定。

4.本指南制定的意义

统一并规范了下肢动脉硬化闭塞症的诊治标准；

指明了下肢动脉硬化闭塞症的诊治方向；

为临床医生提供了参考和指导，并非约束。


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    2016-03-25 minzju5062

    #下肢动脉硬化闭塞症#

    0

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    2016-03-05 zhixianchen

    #动脉硬化闭塞症#

    0

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    2015-11-12 swallow

    #下肢动脉#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1694065, encodeId=6a7516940652c, content=<a href='/topic/show?id=dbe3201e596' target=_blank style='color:#2F92EE;'>#下肢动脉硬化闭塞症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20175, encryptionId=dbe3201e596, topicName=下肢动脉硬化闭塞症)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=64d129549713, createdName=minzju5062, createdTime=Fri Mar 25 00:32:00 CST 2016, time=2016-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071000, encodeId=785220e1000bc, content=<a href='/topic/show?id=2a313328eaf' target=_blank style='color:#2F92EE;'>#动脉硬化闭塞症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33287, encryptionId=2a313328eaf, topicName=动脉硬化闭塞症)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e72268, createdName=zhixianchen, createdTime=Sat Mar 05 00:32:00 CST 2016, time=2016-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1952190, encodeId=0dfd195219038, content=<a href='/topic/show?id=839420169e5' target=_blank style='color:#2F92EE;'>#下肢动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20169, encryptionId=839420169e5, topicName=下肢动脉)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=83a4244, createdName=swallow, createdTime=Thu Nov 12 05:32:00 CST 2015, time=2015-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39711, encodeId=32dd39e1102, content=感谢分享~, beContent=null, objectType=article, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Mon Oct 19 17:53:00 CST 2015, time=2015-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39712, encodeId=0daf39e120a, content=非常感谢~, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Mon Oct 19 17:53:00 CST 2015, time=2015-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39713, encodeId=90b039e1303, content=为了积分我也是拼了~, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Mon Oct 19 17:53:00 CST 2015, time=2015-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39710, encodeId=b27f39e10a3, content=赞一个~, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Mon Oct 19 17:52:00 CST 2015, time=2015-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1551742, encodeId=28131551e42aa, content=<a href='/topic/show?id=305156401eb' target=_blank style='color:#2F92EE;'>#指南解读#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56401, encryptionId=305156401eb, topicName=指南解读)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=eb0214221999, createdName=shuangle, createdTime=Wed Oct 14 03:32:00 CST 2015, time=2015-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1604711, encodeId=c57d1604e1158, content=<a href='/topic/show?id=9c279166488' target=_blank style='color:#2F92EE;'>#诊治指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91664, encryptionId=9c279166488, topicName=诊治指南)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0d4719270101, createdName=ms9651749636653578, createdTime=Wed Oct 14 03:32:00 CST 2015, time=2015-10-14, status=1, ipAttribution=)]
    2015-10-19 sunlong28

    感谢分享~

    0

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    2015-10-19 sunlong28

    非常感谢~

    0

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    2015-10-19 sunlong28

    为了积分我也是拼了~

    0

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    2015-10-19 sunlong28

    赞一个~

    0

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    2015-10-14 shuangle

    #指南解读#

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1694065, encodeId=6a7516940652c, content=<a href='/topic/show?id=dbe3201e596' target=_blank style='color:#2F92EE;'>#下肢动脉硬化闭塞症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20175, encryptionId=dbe3201e596, topicName=下肢动脉硬化闭塞症)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=64d129549713, createdName=minzju5062, createdTime=Fri Mar 25 00:32:00 CST 2016, time=2016-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071000, encodeId=785220e1000bc, content=<a href='/topic/show?id=2a313328eaf' target=_blank style='color:#2F92EE;'>#动脉硬化闭塞症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33287, encryptionId=2a313328eaf, topicName=动脉硬化闭塞症)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e72268, createdName=zhixianchen, createdTime=Sat Mar 05 00:32:00 CST 2016, time=2016-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1952190, encodeId=0dfd195219038, content=<a href='/topic/show?id=839420169e5' target=_blank style='color:#2F92EE;'>#下肢动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20169, encryptionId=839420169e5, topicName=下肢动脉)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=83a4244, createdName=swallow, createdTime=Thu Nov 12 05:32:00 CST 2015, time=2015-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39711, encodeId=32dd39e1102, content=感谢分享~, beContent=null, objectType=article, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Mon Oct 19 17:53:00 CST 2015, time=2015-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39712, encodeId=0daf39e120a, content=非常感谢~, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Mon Oct 19 17:53:00 CST 2015, time=2015-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39713, encodeId=90b039e1303, content=为了积分我也是拼了~, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Mon Oct 19 17:53:00 CST 2015, time=2015-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39710, encodeId=b27f39e10a3, content=赞一个~, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Mon Oct 19 17:52:00 CST 2015, time=2015-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1551742, encodeId=28131551e42aa, content=<a href='/topic/show?id=305156401eb' target=_blank style='color:#2F92EE;'>#指南解读#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56401, encryptionId=305156401eb, topicName=指南解读)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=eb0214221999, createdName=shuangle, createdTime=Wed Oct 14 03:32:00 CST 2015, time=2015-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1604711, encodeId=c57d1604e1158, content=<a href='/topic/show?id=9c279166488' target=_blank style='color:#2F92EE;'>#诊治指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91664, encryptionId=9c279166488, topicName=诊治指南)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0d4719270101, createdName=ms9651749636653578, createdTime=Wed Oct 14 03:32:00 CST 2015, time=2015-10-14, status=1, ipAttribution=)]
    2015-10-14 ms9651749636653578

    #诊治指南#

    0