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1、大连医科大学附属第一医院,高危ASO病人 血管重建,术后管理,术前评估,手术与麻醉的实施,治疗决策,病变性质,病变部位、范围,The Trans-Atlantic Inter-Society Consensus (TASC II),Type A lesions,TASC Classification of Aorto-iliac Lesions,Unilateral or bilateral stenoses of CIA,Unilateral or bilateral single short ( 3 cm) stenosis of EIA,Type D lesions,TASC Class
2、ification of Aorto-iliac Lesions,Iliac stenosis in patients with AAA requiring treatment and not amenable to endograft placement or orther lesions requiring open aortic or iliac surgery,Bilateral occlusions of EIA,Type A lesions,TASC Classification of Femoral Popliteal Lesions,Single stenosis 10 cm
3、in length,Single occlusion 5 cm in length,Type D lesions,TASC Classification of Femoral Popliteal Lesions,Chronic total occlusions of CFA or SFA ( 20 cm, involving the popliteal artery),Chronic total occlusion of popliteal artery and proximal trifurcation vessels,是否需要血管重建,做什麽手术、选什麽麻醉,全身及局部是否允许手术,治疗决策,是否需要血管重建,治疗决策,做什麽手术、选什麽麻醉,治疗决策,qiuchanglian,白云清, 等. 中国医师进修杂志, 2009,32:16-18,白云清, 等. 中国医师进修杂志, 2009,32:16-18,手术与麻醉的实施,努力让病人在最小的代价下解决问题,Wangfengying,术后管理,结语,仔细的术前评估、恰当的治疗决策 以及精准的手术操作等均为 治疗成功的关键,ASO病人往往伴有各种并存疾病, 多学科联合治疗非常重要,谢谢!,