[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fObd8z5rVnFKVWlZUt5FGt0aVWCMy9-5iWpuK9E_znEQ":8,"$foUTS3ilj_3uwY_0k4z_wYEXJcr59uVwqd3TaxFV0LXo":56,"$fW_dZHH8ovIb51i2mTwa9kfLPyDGDRMfAXB1dQwymf-0":60},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":55},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":18,"postsTitle":19,"materialTotal":20,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"content":25,"description":26,"views":27,"likes":21,"isThumbsUp":7,"isCollection":7,"collections":21,"createTime":28,"seoTitle":29,"seoKeywords":30,"seoDescription":31,"shelvesTime":32,"version":21,"menus":33,"menuId":35,"type":43,"quality":54,"commentCount":21,"isComment":43},3440,47,[],"https://ystcdn.venuertc.com/medical/ystApp/JVhkwE6xR3kmAh0O0EMf513NyJVVf2Sh.png","于龙飞","四平市中心人民医院","急诊科","主治医师",23,0,"警惕腹主动脉瘤——隐匿的“定时炸弹”！","","https://ystcdn.venuertc.com/venue/AI/95cc5e05-fb21-4e0d-acb4-81b9910e25d4.jpg","\u003Ch2>警惕腹主动脉瘤——隐匿的“定时炸弹”！\u003C/h2>\n\n\u003Cp>根据近期的一份病程记录和影像检查报告显示，一位71岁的老年女性出现了腹主动脉瘤的症状。影像学检查发现腹主动脉下段呈现瘤样扩张，大小约为3.6cm x 3.4cm。同时，还伴有附壁血栓、右肾动脉起始部钙化斑块以及右髂内动脉闭塞。此外，病人在发热、体温高达39.2度、睡眠较差和未排便，下肢和肺部的循环状况也出现了一定程度的问题。\u003C/p>\n\n\u003Cp>细数这些检查结果，其中腹主动脉瘤这一项尤其值得警惕。腹主动脉通常直径不超过2.5cm，当直径超过3cm时即被视为腹主动脉瘤。这种疾病的隐蔽性很强，但一旦破裂，其危险性极高。\u003C/p>\n\n\u003Ch3>腹主动脉瘤可能带来的危害\u003C/h3>\n\n\u003Cp>腹主动脉瘤往往是由于动脉壁的病变引起的。随着病变的加重，动脉壁逐渐变薄，形成瘤袋样结构。如果不及时干预，这个瘤袋可能会继续增大，甚至发生破裂。统计数据显示，腹主动脉瘤破裂后的死亡率在60%以上，即便是及时手术，术后也有较高的并发症和死亡率。\u003C/p>\n\n\u003Cp>特别是在老年人群中，腹主动脉瘤的患病率较高。其高危因素包括高血压、高血脂、动脉粥样硬化、吸烟和家族史等。腹主动脉瘤可导致血流紊乱，产生血栓，甚至引起下肢缺血和组织坏死。此外，腹主动脉瘤的存在也可能会影响附近脏器的功能，引起一系列并发症。\u003C/p>\n\n\u003Ch3>腹主动脉瘤的治疗方案\u003C/h3>\n\n\u003Cp>当前，治疗腹主动脉瘤的方法主要分为外科手术和介入治疗。手术治疗包括开放性手术和微创内衬修复术。开放性手术需要切开腹腔，直接修补或替换病变动脉，这种方式虽然疗效确切，但创伤大，术后恢复时间较长。微创内衬修复术则是通过股动脉插入特殊支架，覆盖病变动脉内壁，从而达到修复动脉的目的，这种方法创伤小，恢复快，但适应证较为严格。\u003C/p>\n\n\u003Cp>此外，对于一些不适合手术的患者，可以考虑药物治疗，控制血压、血脂，减轻动脉硬化程度。同时，定期的影像学检查也是非常必要的，以便及时监测动脉瘤的变化。\u003C/p>\n\n\u003Ch3>预防腹主动脉瘤的重要性\u003C/h3>\n\n\u003Cp>预防腹主动脉瘤需要从控制危险因素入手。首先，保持血压和血脂的稳定，对老年人尤其重要。平时要注意饮食清淡，适量运动，戒烟限酒。同时，定期体检可以早期发现动脉病变。\u003C/p>\n\n\u003Cp>对于有腹主动脉瘤家族史的人群，更要格外小心。定期进行超声波检查，可早期发现动脉瘤的存在。如果有条件，还可以进行基因检测，了解自身风险。\u003C/p>\n\n\u003Cp>腹主动脉瘤虽然危险，但通过积极的预防和治疗，可以大大降低其发生和破裂的风险。老年朋友们一定要重视身体状况，定期检查，及时治疗，为健康保驾护航。\u003C/p>\n\n\u003Ch3>引用文献\u003C/h3>\n\u003Col>\n  \u003Cli>Johnston KW, Rutherford RB, Tilson MD, Shah DM, Hollier L, Stanley JC. Suggested standards for reporting on arterial aneurysms. Journal of Vascular Surgery. 1991;13(3):452-458.\u003C/li>\n  \u003Cli>Patel R, Sweeting MJ, Powell JT, Greenhalgh RM. Endovascular versus open repair of abdominal aortic aneurysm in 15-years’ follow-up of the UK endovascular aneurysm repair trial 1 (EVAR trial 1): a randomised controlled trial. The Lancet. 2016;388(10058):2366-2374.\u003C/li>\n  \u003Cli>Thompson RW. Basic science of abdominal aortic aneurysms: emerging therapeutic strategies for an unresolved clinical problem. Current Opinion in Cardiology. 2006;21(6):504-510.\u003C/li>\n  \u003Cli>Lee JT, Lee GK, Chiu S, Sanchez LA. Contemporary management of abdominal aortic aneurysms. Missouri Medicine. 2012;109(6):493-498.\u003C/li>\n\u003C/ol>","根据近期的一份病程记录和影像检查报告显示，一位71岁的老年女性出现了腹主动脉瘤的症状。影像学检查发现腹主动脉下段呈现瘤样扩张，大小约为3.6cm x 3.4cm。",614,"2025-02-18 16:11:29"," 警惕腹主动脉瘤——隐匿的“定时炸弹”！"," 腹主动脉瘤, 定时炸弹, 血管疾病, 健康风险, 医疗预防"," 腹主动脉瘤是一种隐匿且危害严重的血管疾病，被喻为“定时炸弹”。了解这个健康风险，及早发现和预防，保护您的生命安全。阅读本文，掌握腹主动脉瘤的相关知识及预防措施。","2025-03-05 12:40:00",[34],{"menuId":35,"menuName":36,"parentId":21,"orderNum":37,"path":38,"component":39,"isFrame":40,"isCache":41,"menuType":42,"visible":43,"status":21,"createDept":6,"remark":23,"createTime":44,"children":45,"columnImage":46,"columnLogo":47,"uncheckedLogo":6,"checkedLogo":6,"isHot":43,"isHome":21,"forceLogin":21,"color":48,"seoTitle":49,"seoKeywords":50,"seoDescription":51,"contentNum":6,"promotionalPoster":52,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":53,"routerPath":38,"componentInfo":39},"1986713082609147906","健康科普",2,"article","/article.html","1","0","T",1,"2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","重大疾病",true,{"code":9,"msg":10,"message":6,"data":57,"success":55},{"pageNo":43,"pageSize":58,"result":59,"totalSize":21},10,[],{"code":9,"msg":10,"message":6,"data":61,"success":55},{"authors":62,"appraiseDimensionScoresVos":63},[],[]]