2007
骞村害蹇冨姏琛扮鍒嗘瀽鎬荤粨鎶ュ憡
涓�銆佸畾涔?/p>
蹇冨姏琛扮锛?/p>
heart failure
銆佺畝绉板績琛帮級鏄悇绉嶅績鑴忕柧鐥呭鑷村績鍔熻兘涓嶅叏
锛?/p>
cardiac insufficiency
锛夌殑涓�绉嶅鏉傜殑涓村簥鐥囩姸缇わ紝涓哄悇绉嶅績鑴忕梾鐨勪弗閲嶉樁
娈碉紝缁濆ぇ澶氭暟鎯呭喌涓嬫槸鎸囧績鑲屾敹缂╁姏涓嬮檷浣垮績鎺掕閲忎笉鑳芥弧瓒宠倢浣撲唬璋㈢殑闇�瑕侊紝
鍣ㄥ畼銆佺粍缁囪娑茬亴娉ㄤ笉瓒筹紝鍚屾椂鍑虹幇鑲哄惊鐜拰锛堟垨锛変綋寰幆娣よ鐨勮〃鐜般�傚皯鏁版儏
鍐典笅蹇冭倢鏀剁缉鍔涘皻鍙娇蹇冩帓琛�閲忕淮鎸佹甯革紝
浣嗙敱浜庡紓甯稿楂樼殑宸﹀績瀹ゅ厖鐩堝帇锛?/p>
浣?/p>
鑲洪潤鑴夊洖娴佸彈闃伙紝鍚庤�呯О涔嬩负鑸掑紶鏈熷績鍔涜“绔�傚績鍔熻兘涓嶅叏鎴栧績鍔熻兘闅滅
锛?/p>
cardiac dysfunction
锛夌悊璁轰笂鏄竴涓洿骞挎硾鐨勬蹇碉紝浼存湁涓村簥鐥囩姸鐨勫績鍔熻兘
涓嶅叏绉颁箣涓哄績鍔涜“绔紝鑰屾湁蹇冨姛鑳戒笉鍏ㄨ�咃紝涓嶄竴瀹氬叏鏄績鍔涜“绔�?/p>
鎹浗澶栧尰瀛︾粺璁★紝浜虹兢涓績琛扮殑鎮ｇ梾鐜囩害涓?/p>
1.5
锛咃紞
2.0
锛咃紝
65
宀佷互涓婂彲杈?/p>
6
锛咃紞
10
锛咃紱鍦ㄨ繃鍘荤殑
40
骞翠腑锛屽績琛板鑷存浜″鍔犱簡
6
鍊嶃�傛垜鍥藉
35
锛?/p>
74
宀佸煄
涔″眳姘戝叡
15518
浜洪殢鏈烘娊鏍疯皟鏌ユ樉绀猴紝蹇冭“鎮ｇ梾鐜囦负
0.9
锛咃紝蹇冭“鎮ｈ�呯害涓?/p>
400
涓囷紝鍏朵腑鐢锋�т负
0.7
锛咃紝濂虫�т负
1.0
锛咃紝濂虫�ч珮浜庣敺鎬?/p>
(p
锛?/p>
0.05),
涓嶅悓浜庤タ鏂瑰浗
瀹剁殑鐢锋�ч珮浜庡コ鎬с�傝繖绉嶅樊寮傚彲鑳藉拰鎴戝浗濂虫�ч婀挎�х摚鑶滅梾蹇冭“鍙戠梾鐜囪緝楂樻湁
鍏炽�?/p>
闅忕潃骞撮緞澧為珮锛?/p>
蹇冭“鐨勬偅鐥呯巼鏄捐憲涓婂崌锛?/p>
鍩庡競楂樹簬鍐滄潙锛?/p>
鍖楁柟鏄庢樉楂樹簬鍗楁柟銆?/p>
杩欑鍩庝埂姣斾緥鍜屽湴鍖哄垎甯冿紝
涓庢垜鍥藉啝蹇冪梾鍜岄珮琛�鍘嬬殑鍦板尯鍒嗗竷鐩镐竴鑷达紝
鑰岃繖涓ょ
鐤剧梾鏄績琛扮殑涓昏鍘熷洜銆?/p>
鎹垜鍥?/p>
42
瀹跺尰闄㈠湪
1980
銆?/p>
1990
銆?/p>
2000
骞?/p>
3
涓叏骞存瀵?/p>
閮ㄥ垎鍦板尯蹇冭“浣忛櫌鐥呬緥鍏?/p>
10714
渚嬫墍浣滅殑鍥為【鎬ц皟鏌ワ紝
鍐犲績鐥呯敱
1980
骞寸殑
36.8%
涓婂崌鑷?/p>
2000
骞寸殑
45.6
锛咃紝鍐犲績鐥呭眳鍚勭鐥呭洜涔嬮锛涢珮琛�鍘嬬梾鐢?/p>
8.0
锛呬笂鍗囪嚦
12.9
锛咃紱鑰岄婀挎�у績鐡ｈ啘鐥呭垯鐢?/p>
34.4
锛呬笅闄嶈嚦
18.6
锛呫�傛澶栵紝鍚勫勾娈靛績琛版浜?/p>
鐜囧潎楂樹簬鍚屾湡蹇冭绠＄梾浣忛櫌鐨勬浜＄巼锛?/p>
3
涓勾娈靛垎鍒负
15.4
锛呫�?/p>
8.2
锛呫�?/p>
12.3
锛?/p>
姣?/p>
5.6
锛呫�?/p>
6.2
锛呫�?/p>
2.6
锛咃紝鎻愮ず蹇冭“鐨勯鍚庝弗閲嶃�傚績琛扮殑姝讳骸鍘熷洜渚濇涓猴細娉佃“
绔紙
59
锛咃級
銆佸績寰嬪け甯革紙
13
锛咃級鍜岀対姝伙紙
13
锛咃級
銆?/p>
涓尰灏嗗績鍔涜“绔綊灞炰簬鈥滃績琛扳�?/p>
銆?/p>
鈥滃績鎮糕�?/p>
銆?/p>
鈥滃枠璇佲�?/p>
銆?/p>
鈥滃績姘粹�濄�?/p>
鈥滄按鑲库�?/p>
銆?/p>
鈥滅Н
鑱氣�濈瓑鐥呰瘉鑼冪暣銆?/p>
浜屻�佽瘖鏂緷鎹?/p>
锛堜竴锛夊績鍔涜“绔殑璇婃柇鏍囧噯
蹇冨姏琛扮鐨勪复搴婅瘖鏂槸渚濇嵁鐥呭彶銆?/p>
浣撴牸妫�鏌ュ拰鐩稿簲鐨勫疄楠屽妫�鏌ヤ綔鍑虹殑缁煎悎
鍒ゆ柇銆傜洰鍓嶅皻鏃犵粺涓�鐨勬爣鍑嗐�傛娲插績鑴忕梾瀛︿細锛?/p>
ESC
锛夊績鍔涜“绔伐浣滅粍鎺ㄨ崘鐨勬爣
鍑嗘槸锛氣憼闈欐伅鎴栧姵鍔涙椂鍑虹幇蹇冨姏琛扮鐨勭棁鐘讹紱鈶￠潤鎭椂蹇冨姛鑳戒笉鍏ㄧ殑瀹㈣渚濇嵁锛?/p>
鈶㈠蹇冨姏琛扮鐨勬不鐤楁湁鍙嶅簲锛堝綋蹇冨姏琛扮璇婃柇涓嶆槑纭椂鍑虹幇绗笁鏉℃敮鎸佽瘖鏂級
銆?/p>
涓村簥涓婏紝
鑻ユ偅鑰呮湁鍣ㄨ川鎬у績鑴忕梾鐨勫瑙備緷鎹紝
鑲洪潤鑴夋垨浣撳惊鐜潤鑴夋筏琛�鐨勭棁鐘跺拰
浣撳緛锛屽嵆鍙�冭檻蹇冨姏琛扮鐨勮瘖鏂�?/p>
Framingham
蹇冨姏琛扮璇婃柇鏍囧噯
[
榛勫郴锛?/p>
鐜嬫枃
.
蹇冭剳琛�绠＄柧鐥呭ぇ鍨嬩复搴婅瘯楠?/p>
.
鍗?/p>
浜細姹熻嫃绉戝鎶�鏈嚭鐗堢ぞ锛?/p>
1998.651
锝?/p>
652]
涓昏鏍囧噯锛氣憼闃靛彂鎬у闂村懠鍚稿洶闅撅紱鈶￠闈欒剦鎬掑紶锛涒憿鑲洪儴鍟伴煶锛涒懀鑳哥墖绀?/p>
蹇冨奖澧炲ぇ锛涒懁鎬ユ�ц偤姘磋偪锛涒懃绗笁蹇冮煶濂旈┈寰嬶紱鈶︿腑蹇冮潤鑴夊帇鍗囬珮
[
鍙虫埧鍘嬶紴
1.6kPa
锛?/p>
16cmH2O
锛?/p>
]
鈶ц寰幆锛堣噦鑲哄惊鐜級鏃堕棿鈮?/p>
25
绉掞紱鈶ㄨ倽棰堝洖娴佸緛闃虫�э紱
鈶╂姉蹇冨姏琛扮娌荤枟鍚庯紝
5
澶╁唴浣撻噸涓嬮檷鈮?/p>
4.5kg
銆?/p>
娆¤鏍囧噯锛?/p>
[
娉細娆¤鏍囧噯涓庡叾浠栧尰鐤楃姸鍐垫棤鍏虫椂鎵嶈鎺ュ彈
]
鈶犲弻渚ц笣閮ㄦ按鑲匡紱鈶″闂撮樀鍙戞�у挸鍡斤紱鈶㈡棩甯告椿鍔ㄦ劅鍛煎惛鍥伴毦锛涒懀鑲濊偪澶э紱
鈶よ兏鑵旂Н娑诧紱
鈶ョ敓娲昏兘鍔涗笅闄嶈嚦鏃㈠線鏈�澶у�肩殑
33%
浠ヤ笅銆?/p>
鈶﹀績鍔ㄨ繃閫?/p>
锛堝績鐜団墺
120