"A lot of drug should not take, eating however; A lot of treatment do not need, doing however; A lot of operations can make a patient more painful, also doing however. This is now a very severe problem. This is now a very severe problem..
-----The yellow clean husband of undersecretary of former Ministry of Public Health, group of couplet of team committee member is defended to discuss in cure of countrywide the Chinese People's Political Consultative Conference on such respecting.
Be in the United States, the medical treatment of 40% is invalid, our country, this kind of phenomenon is more common, german writer blame Ge Black has a book " invalid medical treatment " , once resounding Europe, whole world journal of 25000 kinds of medicine, publish paper of 2 million medicine every year, but among them 70% research result is unjust at numerous -- what mirror because of these papers is contemporary iatrical negative with malpractice, be medical treatment bound " mine field " , once announce very adverse to medical establishment. Of course although this has certain one-sided sex, but also can show particular issue probably.
Old before, one is plant " heart surgery " , on the heart burn gives a few small holes, let blood-vessel be able to improve cardiac muscle to feed oxygen natively again, this operation is in Europe once mad be current. Classics England expert is proved repeatedly later, this operation has higher survival rate without the patient than taking drug merely, but operation expenses special however tall.
" invalid medical treatment " the case analysis that heart bracket still listed in one book, german Lai ever did a very convincing test than the surgical expert of stannic hospital: They achieve stricture of 100 coronary artery the patient of 75% to divide two groups, a group of operations, another group not the operation exercises everyday, after a year, the rehabilitation of surgery team is led 70% , and the rehabilitation rate that did not make operation group is achieved however 88% .
Other and invalid medical treatment, we are temporary not dare absurd adds a comment, we are small today the heart bracket experiment that talks about this to disable:
This experiment is selected is stricture of 100 heart and vesselses the patient of 75% , what do not put bracket to want to compare the rehabilitation that puts support as a result is good, so 75% must put support? Not be of course, 75% put do not put bracket to need a basis particular case, cannot say to see stricture 75% , we put support, this affirmation is excessive medical treatment, it is invalid medical treatment for certain.
We see rate of heart blood-vessel stricture first:One class is narrow: 25~49% of coronary artery stricture, actually usually, we do not call this kind of stricture coronary heart disease, and say for " appearance of coronary artery congee is sclerotic " .
2 class are narrow: 50~74% of coronary artery stricture, this proportional stricture, do not need support commonly or take bridge operation, because although narrow, but this blood stream or enough heart use, won't cause a symptom commonly.
3 class are narrow: 75~99% of coronary artery stricture, according to groovy standard, the stricture of this degree, great majority needs to learn carry to rebuild, take the bridge or stand namely, of course above all we should be controlled with medicine first, in medication the effect just considers support on bad foundation or build the bridge.
4 class are narrow: Coronary artery is narrow 100% , jam completely namely, this is cardiac muscle straightens dead, most of course it is acute cardiac muscle straightens dead, need rescue, no matter be dissolve bolt or bracket, a word: Be fast!
Actually the stricture of 75% still is the stricture of 50% , it is doctor basis experience, much angle observes the conclusion that radiography result reachs, say the likelihood has a bit error strictly, for instance I say 70% , he says 80% , do not have a fault.
How is that treated to the stricture of 75% ?1, trunk is hemal:
Namely stricture of left main force is more than 50% put support with respect to need, to bracket, 75% already not was a standard, but intervening treatment of pathological changes of left main force is more sophisticated, the medical service that needs to have experience goes natively bracket is embedded art. That is to say 50% above have to treat stricture of trunk pathological changes, the truth is very simple, cardiac blood is supplied through this main force, trunk is narrow 50% , that blood stream of other blood-vessel can decrease apparently; Must treat so.
2, petty blood-vessel is narrow:
There still are a lot of blood-vessels outside the heart, include a heart cent side pays a circulation between blood-vessel, very fine blood-vessel, if stricture is more than 75% , on one hand little blood vessel must want relative to danger small, although be blocked up dead,also do not have big risk, on the other hand too fine hemal, without method operation; Do not need special processing so, it is good to should observe regularly only.
Understand simply, large tree root is bad, must handle, do not handle large tree to may die; The petty minor details that plants the tip of a tree greatly appears problem, need not use a pipe, calculate large tree bad to also do not have a thing.
Put in the 75% stricture of controversy:The stricture of 75% , itself is the narrow rate that naked eye watchs, spoken parts in an opera put bracket to had been not been, which don't have respecting wrong; But the illness that the individual thinks or should combine a patient, make best choice, no matter be,do not put support, should place patient patient's condition in the first, can place patient patient's condition in only place only.
If pathological changes is opposite A, stable, or patient symptom is not very typical angina, can take medicine first so observation; Because be in clinical have critical pathological change really, it is certain to be added through healthy lifestyle medication, the result is right, individual person can reduce stricture even.
B, if pathological changes is not stable, or electrocardiogram evidence is sufficient, that basis is factual circumstance, should put still must put.
Anyhow, a word: Want by conscience, the person is being done, the day is looking!
2, objective standardConscience is factitious, who also cannot accurate hold, invent a kind of idea, is will measure this kind of critical pathological change to have a level?
Have such level of course-----Inside blood-vessel supersonic reach FFR.
Existing to critical stricture controversy, then we had be toed get into go having a look inside blood-vessel, after all is this narrow and multiple? After all is this pathological changes stable? After all is this blood-vessel short of blood really?
This kind is checked even if inside blood-vessel supersonic, we had made supersonic inspection, with this truth, do small supersonic, resemble putting support in that way, this supersonic the place that sends hemal stricture, reach through computation narrow degree, reach through the analysis the property of spot piece, give out through the computer whether does blood-vessel of this pathological changes have cardiac muscle to be short of blood after all.
If really narrow and serious, be short of blood serious, so we put support; If so not serious, we do not put support temporarily; Such since, with respect to many objective, is not to use conscience judgement.
Can measure narrow level through the instrument, and do not observe with person eye.
3, existence problemBut inside the blood-vessel of major city supersonic and current did not enter cure to protect, expenditure is not cheap also, bring particular worry to doctor and patient so, but believe as be improved ceaselessly and throw, gradually these problems can be solved.
Return so that basically see popular feeling at present, the technology popularizes need process, ren Xinpu reachs need popular feeling.
No matter be open to question 75% :1, healthy lifestyle is precaution and remedial coronary heart disease is essential, only healthy life ability prevents spot piece to accentuate, ability prevents coronary heart disease, ability prevents the narrow accentuation of 50% to arrive 75% ; Be far from smoke wine, hold to motion, control weight, healthy diet, regular work and rest.
2, the key that medicationing is cure of coronary heart disease, without giving thought to whether bracket, want diagnose coronary heart disease to need to medication normally only, cannot believe small advertisement says to be able to effect a radical cure easily coronary heart disease. If who can effect a radical cure coronary heart disease, who sends big money early to get the TV on large award!
Anyhow, degree of heart blood-vessel stricture 75% , it is certain to explain coronary heart disease had arrived degree, no matter whether put support, you get healthy life ＋ to medication normally.
Come to put support at wanting, simple principle is: Take medicine can control a symptom, do not put support for certain, if take medicine,manager, still put support, that eats namely much maintain, that also is bastard behavior.
Finally, say even: Want to have conscience to putting support, want to have conscience to seeing a doctor, the person is being done, the day is looking!
A lot of drug should not take, eating however; A lot of treatment do not need, doing however; A lot of operations can make a patient more painful, also doing however. When do we solve these difficult problem! . . . . . .[formal authorization achieves cardiovascular king doctor formerly protection, investigate legal duty certainly like the person that have filch. ]
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