目的:探讨腹腔镜胆囊切除术的适应症及适用人群。方法:回顾分析我院1998～2007年2168例腹腔镜胆囊切除术的疾病种类及年龄、性别分布。结果:胆结石伴慢性胆囊炎1994例占91.97%,胆囊息肉106例,占4.89%,急性胆囊炎伴胆囊结石68例,占3.14%;男性575例,占26.52%,女性1693例,占73.48%;年龄lt;20岁21例,占0.97%,21~55岁1570例,占72.70%,56~65岁363例,占16.74%,年龄gt;66岁208例,占9.59%,最小年龄15岁,最大年龄84岁。手术中转59例,占2.72%。结论:慢性胆囊炎、胆囊结石、胆囊良性隆起样病变是腹腔镜胆囊切除术的主要适应症;腹腔镜胆囊切除术适用于各年龄段的患者。
The European Society of Cardiology (ESC) released the "2024 ESC guidelines for the management of elevated blood pressure and hypertension" on August 30, 2024. This guideline updates the 2018 "Guidelines for the Management of Arterial Hypertension." One notable update is the introduction of the concept of "elevated blood pressure" (120-139/70-89 mm Hg). Additionally, a new systolic blood pressure target range of 120-129 mm Hg has been proposed for most patients receiving antihypertensive treatment. The guideline also includes numerous additions or revisions in areas such as non-pharmacological interventions and device-based treatments for hypertension. This article interprets the guideline's recommendations on definition and classification of elevated blood pressure and hypertension, and cardiovascular disease risk assessment, diagnosing hypertension and investigating underlying causes, preventing and treating elevated blood pressure and hypertension. We provide a comparison interpretation with the 2018 "Guidelines for the Management of Arterial Hypertension" and the "2017 ACC/AHA Guideline on the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults."