周围血管疾病PPT精品课程讲义

Peripheral Vascular Disease
Peripheral Vascular Disease
• Diseases of blood vessels outside the heart and brain
– Disorders of the veins – Peripheral arterial disease (PAD)
Venous Disorders in Low Extremity
Historical Background
State of the art in the 21st century
EVLT
源自文库
Duplex US, MRA, CTA Molecular biology development Pathophysiology of DVT
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Celsus: excision and ligation of bleeding veins Galen: Tie off blood vessels with silk ligature ; varicose veins should be treated by incision and avulsion with the use of hooks
1550 BC to 200 AD: Venous Discoveries
Hippocrates: Description of venous ulceration; made the first reference to compressive dressing. The first written record of varicose veins and suggestions on treatment
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Venous Disorders in Low Extremity
Venous Disorders in Low Extremity
下肢静脉系统疾病
Venous Disorders in Low Extremity
Historical Background
Venous diseases of the lower limbs, are greatly influenced by the erect position of the human race.
Alexandrian School of Medicine: The first ligation of blood vessels
1500 BC
400 BC
270 BC
1st Century 2nd Century
Venous Disorders in Low Extremity
Historical Background
1955: thrombolysis for DVT 1923-1938: phlebography Linton and Cockett 1917: classified varicose veins as primary and postthrombotic
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1994: A.V.F CEAP classification for CVI
1941: beneficial effect of heparin on DVT 20th Century
1968: Kistner venous valve reconstructions 1985: Minimally invasive endoscopic surgical procedures
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Deep veins
Venous Disorders in Low Extremity
Anatomy-Superficial Veins
Graeater saphenous veins (大隐静脉）
Lesser saphenous veins (小隐静脉）
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Venous Disorders in Low Extremity
凡大医治病，必当安神定志，无欲无求，先发大慈恻隐之心，誓愿 普救含灵之苦。 --孙思邈
周围血管疾病
*** **大学 **医院
Peripheral Vascular Disease
Peripheral Vascular Disease
(周围血管疾病)
Prof. Zhengya Yu M.D.
Department of General and Vascular Surgery, Beijing Tongren Hospital
Robert R. Linton (1953)
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Votive tablet found at the base of the Acropolis in Athens, Greece 4th century BC
Venous Disorders in Low Extremity
Historical Background
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Virchow,1860
14th
15th
16th
17th
18th
19th
20th
Venous Disorders in Low Extremity
Historical Background
20th Century Landmarks
1905-1906: stripping of the saphenous veins
14th to 20th Century: Progress in Anatomy and Physiology
Browse ,1585 Leonardo da Vinci John Gay,1866 Hieronymus Fabricius 1603
Andreas Vesalius
Maitre Henri de Mondeville: using bandages on limbs with ulcerations
factor V Leiden mutation Protein C, Protein S antithrombin III
IVC filter
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TriVex
Venous Disorders in Low Extremity
Anatomy
Perforating veins
Superficial veins