[急性肢体动脉缺血患者的结构变化]
N G Khorev1,2, S V Sapelkin3, A V Beller1,2
1Altai State Medical University of the Ministry of Health of the Russian Federation, 656038, Barnaul, Russian Federation.
Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery
|February 28, 2026
概括
急性四肢缺血症 (ALI) 是一种严重的疾病. 这项研究发现,随着时间的推移,ALI患者的上肢病例更多,并且从血栓形成转变为栓塞.
科学领域:
- 血管外科 血管外科
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 急性四肢缺血症 (ALI) 是死亡的一个重要原因,占外科手术死亡的25-30%.
- 了解ALI的人口结构和病因结构对于公共卫生倡议至关重要.
研究的目的:
- 分析巴纳乌尔城市聚合区急性下肢和上肢缺血的患者人口统计和病因因素.
- 在18年的时间内确定ALI住院和疾病特征的趋势.
主要方法:
- 在2000年至2018年期间,对1366名患有急性四肢缺血症 (动脉栓塞或血栓形成) 的患者进行了回顾性分析.
- 流行病学指数的计算和基于时间段 (2000-2010 vs. 2011-2018) 和病因学的患者组的比较.
主要成果:
- 整体ALI发病率为每10万人/年10.1,与国际数据一致.
- 观察到女性因ALI住院病例的增加,以及动脉血栓的减少和动脉栓塞的增加.
- 报告指出,ALI整体住院病例的减少趋势,上肢缺血病例显著增加,II-III阶段疾病的增加.
结论:
- 虽然整体ALI住院病例可能正在减少,但由于动脉栓塞的病例显著增加,而由于动脉血栓形成的病例减少.
- 上肢缺血变得越来越普遍,这表明ALI的临床表现可能发生变化,需要更新的管理策略.
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