2024Ä꽫´Ó7ÔÂ15ÈÕÕâÒ»ÌìÕýʽÈë·ü£¬²¢½«ÓÚ8ÔÂ23ÈÕÓÀ´Ä©·üµÄ×îºóÒ»Ì죬Õû¸öÈý·üÌ콫Á¬ÐøÕûÕû40ÌìµÄʱ¼ä¡£
2024ÄêÈý·üʱ¼ä£º
³õ·ü£º2024Äê7ÔÂ15ÈÕ-2024Äê7ÔÂ24ÈÕ£¬¹²10Ì죻
Öзü£º2024Äê7ÔÂ25ÈÕ-2024Äê8ÔÂ13ÈÕ£¬¹²20Ì죻
Ä©·ü£º2024Äê8ÔÂ14ÈÕ-2024Äê8ÔÂ23ÈÕ£¬¹²10Ìì¡£
01 ¸ßÎÂÓÕ·¢ÐÄÄÔѪ¹Ü¼²²¡
Èý·üÌìÆøÎÂÉý¸ß£¬ÈËÌåµÄг´úл¼Ó¿ì£¬ºÄÑõºÍºÄÄÜÔö¼Ó£¬¼ÓÉÏÈËÌå´óÁ¿³öº¹£¬ÌåÄÚË®·ÖÁ÷ʧ½Ï¶à£¬ÑªÒºÕ³ÖͶÈÔö¼Ó£¬»áµ¼ÖÂÐÄ¡¢ÄÔѪ¹Ü¼²²¡µÄ¼ÓÖØ£¬ÓÈÆäÊÇÓÐЩ¸ßѪѹµÄ²¡È˾õµÃÔÚÏÄÌìѪѹ×ÔÈ»»á½µµÍ£¬¾ÍÉÃ×Ô¼õÒ©¡¢Í£Ò©£¬µ¼Ö¸ßѪѹµÄ¸´·¢£¬ÉõÖÁ·ºÆðΣÏÕ¡£
ͼƬÀ´Ô´£ºJ Am Heart Assoc. 2023;12:e030739.
ÄÇô£¬Èý·üÌì¸ÃÈçºÎÔ¤·ÀÐÄÄÔѪ¹Ü¼²²¡µÄ·¢ÉúÄØ£¿
02 Ô¤·À´ëÊ©
Èý·üÌìÔ¤·ÀÐÄÄÔѪ¹Ü¼²²¡·¢Éú£¬×öºÃÒÔϼ¸µã£º
1¡¢Éú»îÆð¾Ó£ºÆð¾ÓÓг££¬Éú»î»·¾³Î¶ȡ¢Êª¶ÈÊÊÒË£¬´µ¿Õµ÷ʱ¼äÖÆÖ¹¹ý³¤¡£
2¡¢½¡¿µÒûʳ£¬Êʵ±Ôö²¹Ë®·Ö£º¶à³Ô¸»º¬ÏËά¡¢Î¬ÉúËØºÍ¿óÎïÖʵÄʳÎ¶àºÈË®£¬ÖÆÖ¹ÉíÌåÍÑË®£¬Êʵ±µÄÒûË®¿ÉÒÔ½µµÍѪҺճ³í¶È£¬ÓÐÀûÓÚѪҺѻ·¡£
3¡¢ÊÊÁ¿¶ÍÁ¶£ºÊʵ±µÄÔ˶¯£¬ÈçÉ¢²½¡¢ÂýÅÜ¡¢ÓÎÓ¾¡¢´òÌ«¼«ÈµÈ£¬¿ÉÒÔÌá¸ßÐķι¦Ð§£¬ÔöÇ¿ÉíÌå·´¿¹Á¦£¬½µµÍÐÄѪ¹Ü¼²²¡µÄ·çÏÕ¡£
4¡¢±£³ÖÇéÐ÷Îȶ¨£¬ÖÆÖ¹²»Á¼´Ì¼¤£ºÔÚ¸ßÎÂÌìÆøÏ£¬ÈËÃÇÍùÍùÈÝÒ׸ÐÓ¦¼±Ôê¡¢½¹ÂÇ¡£ÒªÑ§»áµ÷ÖÎÇéÐ÷£¬¿ÉÒÔÌýÌýÒôÀÖ£¬×ªÒÆ×¢ÒâÁ¦£¬±£³ÖÐÄ̬ƽºÍ£¬ÖÆÖ¹ÇéÐ÷µßô¤¶ÔÐÄѪ¹ÜϵͳÔì³É²»Á¼Ó°Ïì¡£
5¡¢²»ÉÃ×Ô¼õÒ©¡¢Í£Ò©£º¸ßѪѹ»¼Õß²»µÃËæÒâ¼õÍ£½µÑ¹Ò©£¬¶¨ÆÚ¼à²âѪѹ£¬×ñÒ½Ööµ÷Õû½µÑ¹Ò©¡£
Ó¦¼±Ð¡Ìáʾ£ºÈô·ºÆðÐØÃÆ¡¢ÐØÍ´¡¢ÐļµÈÐÄÄÔѪ¹Ü¼²²¡µÄÖ¢×´£¬Á¢¼´¾ÍÒ½¡£
ÐÄÄÔѪ¹Ü¼²²¡µÄ·¢ÉúÊǶàÖÖ²»Á¼ÒòËØºã¾Ã×÷ÓõĽá¹û£¬³ýÁËÒÔÉϸßѪѹ¡¢¸ßѪ֬¡¢ÌÇÄò²¡¡¢ÎüÑÌ¡¢²»ºÏÀíÒûʳ¡¢Ô˶¯²»×ã¡¢·ÊÅֵȳ£¼ûΣÏÕÒòËØÖ®Í⣬»ùÒòÒÅ´«ÔÚÐÄÄÔѪ¹Ü¼²²¡ÖÐÒ²ÊǷdz£ÖØÒªµÄÒ»¸öÒòËØ£¬¶øÇÒ¾³£±»È˺öÂÔ¡£
ͨ¹ý»ùÒò¼ì²âÊÖ¶ÎÄܼ°Ê±É¸²é·¢ÏÖÐÄÄÔѪ¹Ü¼²²¡µÄ¸ßΣÈËȺ£¬Í¨¹ýÔçÔ¤·À¡¢ÔçÖÎÁƿɼõÉÙ¼²²¡Í»·¢Ôì³ÉÑÏÖØµÄºó¹û¡£»ùÒò¼ì²âÓÐÖúÓÚÐÄÄÔѪ¹Ü¼²²¡µÄÁÙ´²Õï¶ÏºÍΣÏշֲ㣬¶ÔÖÎÁƼÆÄ±µÄÖÆ¶¨¡¢ÒÅ´«É¸²éºÍÒÅ´«×è¶ÏµÈÒ²ÓÐÖ¸µ¼×÷Óá£
03 ÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿Ò½Ò©£ºÐÄÄÔѪ¹Ü»ùÒò¼ì²â£¨ÄÐ/Å®6Ï
ͨ¹ý»ùÒò¼ì²â½á¹û£¬Ã÷È·ÄÐ/Å® 6 ÏîÐÄÄÔѪ¹Ü¼²²¡£¨°üÂÞÄÔ³öѪ¡¢¸ßѪѹ¡¢Ð£ËÀ¡¢¹Ú×´¶¯ÂöÑùÓ²»¯ÐÔÐÄÔಡ¡¢´ó¶¯ÂöÖàÑùÓ²»¯ÐÔ×äÖС¢È±ÑªÐÔÖз磩µÄÒÅ´«·çÏÕ£¬ÒÔ±ãÌáǰ¸ÉÔ¤£¬¾«×¼Ìå¼ì¡£
ÊÊÓÃÈËȺ
¢Ù ÐÄÄÔѪ¹Ü¼²²¡¼Ò×åÊ·ÈËȺ
¢Ú ¼²²¡¸ß·çÏÕÈËȺ
¢Û ¹Ø×¢½¡¿µÈËȺµÈ
Ñù±¾ÒªÇó
ѪҺ/ÊÃ×Ó
ѪҺ£ºEDTA¿¹ÄýѪ£¨×ÏÍ·¹Ü£©£¬2mL£¨Ö»ÄÜÓÃ2mLµÄ¹æ¸ñ£©£¬1¹Ü£¨0°ÒÔϼÓů±¦±¦¼ÄËÍ£¬35°ÒÔÉϼӱù´ü¼ÄËÍ£©
ÊÃ×Ó£º¿ÚÇ»ÊÃ×Ó£¬2¹Ü£¨×óÓÒÈù°ï×Ó¸÷Ò»¹Ü£¬¸÷¹Î30-50´Î£©£¬³£Î¼ÄËÍ¡£
¼ì²âÖÜÆÚ
9¸öÊÂÇéÈÕ¡£
²Î¿¼ÎÄÏ×
[1] Gore MO, Ayers CR, Khera A, Defilippi CR, Wang TJ, Seliger SL, Nambi V, Selvin E, Berry JD, Hundley WG. Combining biomarkers and imaging for short-term assessment of cardiovascular disease risk in apparently healthy adults. J Am Heart Assoc. 2020;9:e015410. doi: 10.1161/ JAHA.119.015410
[2] Johri AM, Nambi V, Naqvi TZ, Feinstein SB, Kim ESH, Park MM, Becher H, Sillesen H. Recommendations for the assessment of carotid arterial plaque by ultrasound for the characterization of atherosclerosis and evaluation of cardiovascular risk: from the American Society of Echocardiography. J Am Soc Echocardiogr. 2020;33:917–933. doi: 10.1016/j.echo.2020.04.021