大隐静脉字幕

00:00:16,514 --> 00:00:17,405⼤大家好

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00:00:18,058 --> 00:00:20,444⽆无论是世界这么⼤大

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00:00:20,613 --> 00:00:23,393我想去看看的全球旅⾏行计划

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00:00:23,580 --> 00:00:28,869还是管住嘴迈开腿的健康⽣生活计划

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00:00:29,510 --> 00:00:32,459步⾏行在其中的重要性都不⾔言⽽而喻

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00:00:33,489 --> 00:00:38,028其实常常步⾏行避免久站和久坐

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00:00:38,776 --> 00:00:42,473对于临床上的⼀一种常⻅见⾎血管疾病

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00:00:43,163 --> 00:00:46,485⼤大隐静脉曲张的预防和缓解

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00:00:46,819 --> 00:00:48,924也具有重要的意义

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00:00:50,656 --> 00:00:55,102这⾥里是⼀一张⼤大隐静脉曲张患者的图⽚片11

00:00:55,301 --> 00:00:59,127我们可以看得到患者右下肢的内侧

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00:00:59,876 --> 00:01:02,824⽪皮肤的外观有明显的改变

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00:01:03,152 --> 00:01:04,582那么这些外观的改变

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00:01:04,780 --> 00:01:08,560实际上是由于⽪皮下浅筋膜内的

00:01:08,770 --> 00:01:11,650静脉内的⾎血液淤积

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00:01:11,931 --> 00:01:14,398⾎血管变得蜿蜒屈曲

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00:01:14,606 --> 00:01:17,346然后形成这样的⼀一种外观上的改变

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00:01:17,868 --> 00:01:20,231⼤大隐静脉曲张轻微的时候

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00:01:20,583 --> 00:01:22,733可能会仅仅是影响外观

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00:01:23,015 --> 00:01:24,325如果⽐比较严重

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00:01:24,540 --> 00:01:27,930可能会导致出现这样的表现以外

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00:01:28,144 --> 00:01:30,690还会导致下肢的⽆无⼒力、疼痛

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00:01:30,898 --> 00:01:33,357甚⾄至更严重的时候会导致

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00:01:34,761 --> 00:01:37,459这个⽪皮肤的⾊色素沉着

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00:01:37,672 --> 00:01:39,565最后甚⾄至⽪皮肤的溃烂

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00:01:41,671 --> 00:01:44,481⼤大隐静脉曲张涉及到的⼀一个⾎血管

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00:01:44,695 --> 00:01:45,837就是⼤大隐静脉

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00:01:46,052 --> 00:01:47,118什么是⼤大隐静脉

00:01:47,322 --> 00:01:48,662我们先来看⼀一下

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00:01:50,863 --> 00:01:53,903⼤大隐静脉是全⾝身最⻓长的⼀一条静脉

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00:01:54,114 --> 00:01:56,758这条静脉起⾃自于⾜足背

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00:01:56,958 --> 00:02:01,392然后终⽌止于腹股沟韧带下⽅方

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00:02:01,582 --> 00:02:04,293也就是相当于⼤大腿的根部

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00:02:04,502 --> 00:02:05,650换句话说

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00:02:05,840 --> 00:02:09,066⼤大隐静脉⼏几乎是贯穿下肢的全⻓长

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00:02:09,300 --> 00:02:12,857所以它是全⾝身最⻓长的⼀一条静脉

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00:02:13,652 --> 00:02:16,368我们来看⼀一下⼤大隐静脉的⾏行程

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00:02:16,790 --> 00:02:18,476⼤大隐静脉是起⾃自于

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00:02:18,685 --> 00:02:20,206⾜足背的⼀一个静脉⼸弓

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00:02:20,439 --> 00:02:23,013那么它在⾜足背静脉⼸弓的内侧

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00:02:23,107 --> 00:02:26,290形成以后是经过内踝的前⽅方

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00:02:27,085 --> 00:02:30,594然后经⼩小腿的内侧

00:02:31,391 --> 00:02:33,075膝关节的内后⽅方

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00:02:33,289 --> 00:02:34,620在这⾥里被遮住了

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00:02:34,802 --> 00:02:39,674然后是在⼤大腿的内侧前⽅方上⾏行

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00:02:39,870 --> 00:02:42,528最后在这个腹股沟韧带的下⽅方

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00:02:42,622 --> 00:02:46,132这个部位注⼊入到深部的股静脉内

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00:02:47,625 --> 00:02:50,106⼤大隐静脉我们可以看得到

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00:02:50,108 --> 00:02:53,124⼤大隐静脉的下段也就是⼩小腿段

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00:02:53,336 --> 00:02:54,370有⼀一条神经

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00:02:54,580 --> 00:02:56,243隐神经和它伴⾏行

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00:02:56,523 --> 00:02:57,881这条神经也是位于

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00:02:58,086 --> 00:02:59,918浅筋膜内的⽪皮神经

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00:03:00,199 --> 00:03:02,305那么有时候在临床上

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00:03:02,516 --> 00:03:05,862由于⼤大隐静脉途经内踝前⽅方这个部位56

00:03:06,067 --> 00:03:07,219位置⽐比较恒定