标签： 苏州水磨店推荐

Original x popularization of science factory x popularization of science factory

Today, a grandmother Zhang came to the X clinic program. She said that she had chest tightness and breathlessness since three years ago, but she only had one or two episodes a year, so she didn’t take it seriously.

However, the situation is getting worse and worse. By December last year (2022), it was so serious that I couldn’t sleep on my back. When I went to the hospital for examination, it turned out to be a heart problem!

Wei lai | chief physician

■ Zhongshan Hospital affiliated to Fudan University

Deputy director of cardiac surgery

■ Executive Director of Cardiac Surgery, Shanghai Geriatrics Center

■ Director of minimally invasive cardiovascular surgery

■ Shanghai Heart Valve Engineering Technology Research Center

deputy director

Aging of heart valve

Even more dangerous than some cancers!

The main function of the heart is to pump blood, and the heart valve is an important "valve". Under normal circumstances, this "valve" is one-way and blood cannot flow back.

If the valve calcifies and this "door" cannot be fully opened, then the blood supply will be insufficient.

If this "door" is broken, the pumped blood will flow back and the heart will not be able to supply blood normally.

People will feel chest tightness and breathlessness, and even sudden death in severe cases!

According to statistics, the prevalence of valvular disease has increased since the age of 60, and one in every eight people over 75 suffers from moderate and severe valvular disease, which is very common!

There are four valves in the heart, namely tricuspid valve, pulmonary valve, mitral valve and aortic valve.

Among them, the most important thing is aortic stenosis. Because the aortic valve of the human body is the key "door" connecting the heart and various tissues of the body, once the aortic valve has problems, it will affect the blood supply to the whole body.

Aortic stenosis can be divided into three grades: mild, moderate and severe. Mild and moderate diseases will affect the quality of life of patients, and there will be a long incubation period from occurrence to symptoms, even up to decades.

Severe cases can be life-threatening. If not treated in time, about 50% patients with severe aortic stenosis will hardly live for five years! The survival rate is lower than that of some malignant tumors that make people talk about it.

Why is the heart "valve" damaged?

The valve of human body, especially aortic valve, is the key "door" connecting the heart and various tissues of the body. Once the aortic valve has problems, it will affect the blood supply to the whole body. It will appear:

Manifestations of valvular heart disease:

1. It is easy to feel tired, and I feel tired after doing a little work, and my constitution is very poor;

2. If you can’t breathe smoothly, you will not be able to breathe when you are active, that is, you will be short of breath.

3. The face, hands, feet or other parts are swollen.

4. Abdominal swelling and loss of appetite.

5. The heartbeat is irregular, and sometimes it will suddenly accelerate. In case of sudden syncope, you should pay special attention.

Therefore, regular physical examination for people over 60 years old is particularly important.

There are many reasons for valvular heart disease. To sum up, there are probably the following five reasons.

1. Age factor

The prevalence of valvular disease began to increase from the age of 60, and with the further aging, the incidence of aortic stenosis increased sharply. One in every eight people over 75 years old suffers from moderate and severe valve disease.

2. Congenital diseases

Congenital diseases, especially bicuspid aortic valve malformation. According to the study of Copenhagen Baby Heart Study, the incidence of bicuspid aortic valve malformation in different races is generally 0.5%-1.5%. According to the data of interventional therapy for valvular heart disease in China in 2022, more than 45% of patients with bicuspid aortic valve were treated with TAVR in China, which is close to half. It is mainly caused by the structural problems of bicuspid aortic valve.

3, rheumatic heart disease

This rheumatic valvular heart disease mainly occurs in the mitral valve position.

In 1970s and 1980s, valvular heart disease in China was mainly rheumatic valvular heart disease. Because of poor living and economic conditions at that time, people were prone to rheumatic heart disease after being infected by streptococcus.

The onset age of rheumatic heart disease is earlier, and the onset population is relatively young.

With the overall economic and cultural development in China, valvular heart disease caused by infection or malnutrition has decreased, and senile degenerative heart valve disease has gradually increased. It is a disease caused by age growth and long-term work overload.

4. Infectious and immune diseases

Infectious and immune diseases can also cause reflux, but the risk is lower than aortic stenosis.

5. Other rare diseases

How to repair the broken valve?

The valve in life is broken, just change it to a new one. Then the valve of the heart is broken, what should I do?

The answer is: repair or replace it with a new one.

Aortic valve stenosis has been detected, and there are currently three treatments.

1. Drug therapy

At present, drug therapy can only reduce the burden on the heart by draining water or slowing the heartbeat, but it can’t have an effect on calcified valves. Therefore, if patients with severe aortic valve stenosis, surgery can be considered.

2. Traditional surgical valve replacement (included in the scope of medical insurance)

Traditional surgery usually requires thoracotomy. This method is suitable for valve repair or valve replacement in young patients.

At present, the traditional surgical valve replacement technology is very mature in China, and a large number of clinical data have been accumulated.

If it is really necessary to open the chest after being judged by a regular doctor, then there is no need to panic too much, and surgery can be performed according to the doctor’s advice.

3, interventional therapy surgery (has been included in the scope of medical insurance)

As we said earlier, many patients with aortic stenosis are often in their sixties and seventies. When they are old, they are in poor health, and the risk of surgical valve replacement is great. For such patients, interventional surgery can be considered.

Only through a minimally invasive incision in the leg or chest, the artificial valve can be implanted into the heart. The whole operation takes less than an hour and the wound is very small. Patients can often get out of bed and go home the next day, which is simple and fast.

Generally speaking, there are two kinds of prosthetic valves that can be replaced:

Mechanical valve:

Mechanical valves, mostly made of pyrolytic carbon materials, have the advantages of long service life, not easy to be damaged and relatively cheap.

However, because of its hard texture, it can not be minimally invasive intervened by catheter, and it can only be replaced by traditional thoracotomy, and it is easy to produce thrombosis. So this kind of valve is more suitable for young patients.

Biological valve:

The elderly often choose biological valves, which are made of animal hearts, soft and can be performed through minimally invasive surgery without thoracotomy. But the disadvantage is that compared with the mechanical valve, it has a certain service life and the price is slightly expensive.

Everyone’s physical condition and disease progress are different, and the applicable treatment scheme is also different. Medical treatment or surgical treatment, when to operate and which surgical method to choose should be evaluated and judged by professional doctors after a comprehensive physical examination.

Doctor’s health tips:

It is still necessary to remind the majority of middle-aged and elderly people to have regular physical examinations, especially those over 50 years old should have a complete physical examination every year, including electrocardiogram, chest X-ray, color Doppler echocardiography and some blood-related tests, such as blood lipids, blood sugar and other indicators closely related to cardiovascular diseases.

If we can find possible heart disease-related diseases in advance through annual physical examination, and adjust our living habits or carry out medical intervention accordingly, the burden on individuals, families and society will be greatly reduced.

Expert outpatient information

Weilai

Deputy director of cardiac surgery, Zhongshan Hospital affiliated to Fudan University

Outpatient service time: all-day outpatient service every Wednesday.

Outpatient address: East Campus of Zhongshan Hospital affiliated to Fudan University

(No.1609 Xietu Road, Xuhui District)

Read the original text

　　Accurately grasp the profound connotation and tell the story of common prosperity well

　　Cui Shixin, deputy editor-in-chief of People’s Daily

　　Common prosperity is the essential requirement of socialism and an important feature of Chinese modernization. General Secretary of the Supreme Leader made a series of important expositions on common prosperity, which provided a fundamental basis for solidly promoting common prosperity. We should comprehensively and accurately grasp the profound connotation of common prosperity, correctly understand and grasp the strategic objectives and practical ways to achieve common prosperity.

　　Adhere to the people-centered development thought and realize the all-round development of people and social progress. Common prosperity is all-round prosperity, which includes not only material prosperity, spiritual self-confidence, but also environmental livability, social harmony, universal public services and other aspects to achieve all-round development of people and social progress.

　　Adhere to the "Two Unswervings" and encourage hard work, entrepreneurship and innovation to get rich. To promote common prosperity in the new stage of development, it is necessary to form a development environment in which everyone participates and works hard, make institutional arrangements for everyone to struggle and do their best, so that all sources of social wealth can fully flow in, and cut and divide the "cake" on the premise of making it bigger and better.

　　Implement the new development concept and promote common prosperity in high-quality development. Achieving common prosperity is a long-term process. We should make overall plans for needs and possibilities, follow the law of economic and social development step by step, do what we can and do our best, solve the problem of insufficient development imbalance with high-quality development, and constantly meet the people’s growing needs for a better life.

　　We must continue to be a good recorder, participant and promoter of promoting common prosperity, tell vivid stories of common prosperity, gather the majestic forces of common prosperity, and contribute to the continuous promotion of common prosperity for all people and make more obvious substantive progress.

　　Stick closely to the four strategic orientations and solidly promote common prosperity.

　　Chen Jinbiao, member of the Standing Committee of Zhejiang Provincial Committee and executive vice governor.

　　In May last year, the General Secretary of the Supreme Leader and the CPC Central Committee entrusted Zhejiang with the great and lofty task of developing and building a demonstration zone of common prosperity with high quality, and entrusted Zhejiang with the glorious mission of exploring the road for the solid promotion of common prosperity throughout the country. This year, we always keep in mind our initial mission and solidly promote the construction of a demonstration zone for common prosperity. We have explored and constructed the target system, work system and discourse system for the construction of the demonstration area, and the material foundation for common prosperity has become more solid. The "three major gaps" have been continuously narrowed, and the long-term mechanism for doing practical things for the people has been deepened and implemented. The construction of cultural highlands in the new era has been accelerated, and the construction of ecological civilization has been jointly built and shared, and the construction of rule of law and peaceful Zhejiang has been further promoted.

　　Zhejiang will continue to adhere to the four strategic orientations, persist in promoting common prosperity in high-quality development, and fully display the beautiful scenery of common prosperity in the "important window".

　　Work hard to improve the income distribution system, promote the revolutionary practice of "expanding China" and "lowering China", and strive to build an olive-type beautiful society. Efforts have been made to narrow the "three major gaps", learn the classics of mountains and seas in the new era, solidly promote the high-quality development of 26 counties in mountainous areas, and promote the integrated reforms such as the common rich social security system, the urbanization of agricultural transfer population, and the strengthening of villages and enriching the people. Work hard on the quality sharing of "seven people’s livelihood" and create a group of "golden business cards" that people like Zhejiang Youshanyu and Zhejiang Kangyang feel and praise. Work hard to build a civilized, beautiful and harmonious home, speed up the building of the basic unit of common prosperity and modernization, and highlight the beauty of humanity, ecology and harmony. Finally, a number of theoretical achievements, practical achievements, institutional achievements and cultural achievements with Zhejiang recognition and national influence will be formed, which will provide provincial examples for the country to solidly promote common prosperity and greet the party’s 20 th victory with practical actions!

　　Continuously improve the quality of development and consolidate the foundation of common prosperity

　　Shi Yulong, Director of the Supreme Leader’s Economic Thought Research Center

　　Supporting Zhejiang’s high-quality development and building a demonstration zone of common prosperity is an important decision made by the CPC Central Committee and the State Council. Zhejiang’s exploration practice shows that we must constantly improve the quality and efficiency of development and lay a solid foundation for common prosperity with high-quality development.

　　Insisting on development is the first priority. Promoting high-quality development is the theme of China’s economic and social development in the 14 th Five-Year Plan and even in a longer period. We should not only attach importance to the expansion of quantity, but also focus on the improvement of quality. By deepening the supply-side structural reform, we will promote the quality change, efficiency change and power change of economic development, and effectively solve the problem of insufficient development imbalance.

　　Persistence in innovation is the first driving force. It is necessary to seize the opportunity of a new round of scientific and technological revolution and industrial transformation, accelerate the construction of a modern infrastructure system, promote the deep integration of digital technology and the real economy, empower the transformation and upgrading of traditional industries, make strategic emerging industries and future industries better and stronger, and shape new advantages of innovation-driven development.

　　Insist on improving human capital. It is necessary to strengthen the employment priority orientation in promoting high-quality development, accelerate the formation of a training mechanism conducive to the growth of talents, a use mechanism conducive to the full use of talents, an incentive mechanism conducive to the display of talents, and a competition mechanism conducive to talents to stand out, and create an environment in which talents are respected and used. Increase the investment in inclusive human capital and build a knowledge-based, skilled and innovative workforce.

　　Insist on stimulating the vitality of enterprises. It is necessary to give full play to the advantages of Zhejiang’s relatively developed private economy, adhere to the "two unswerving", make the market play a decisive role in resource allocation, give better play to the role of the government, vigorously carry forward the entrepreneurial spirit, accelerate the cultivation of a number of "specialized and innovative" enterprises and single champion enterprises in manufacturing industry, and comprehensively enhance the new competitive advantages of enterprises.

　　Complementary advantages and resources to promote the common prosperity of farmers and rural areas

　　Wei Houkai, Director of Institute of Rural Development, China Academy of Social Sciences

　　Promoting farmers’ common prosperity in rural areas is an important content of high-quality development and construction of common prosperity demonstration zones. In 2021, the per capita disposable income of rural residents in Zhejiang reached 35,200 yuan, the total economic income of 98.8% administrative villages reached 200,000 yuan, and that of operational income was more than 100,000 yuan. Through multi-level, multi-field and multi-type pilot demonstrations, Zhejiang has accumulated useful experience in promoting common prosperity of farmers and rural areas.

　　Explore the development of "enclaves holding groups". Jiaxing City and other places actively explore, after collecting the land indicators of villages, in industrial parks, economic development zones, etc., through county planning, cross-town management, multi-village joint ways, focus on developing industrial projects, realize complementary advantages and resources, optimize industrial layout, and share development results.

　　Create a rural consortium. Chun’ an County established Daxiajiang Rural Revitalization Consortium, and adopted the "triple" mode of jointly building a platform for common prosperity, jointly promoting common prosperity industries and sharing common prosperity life, leading 25 villages in Daxiajiang to explore the road of common prosperity. Yucun, Anji County, integrates the scenic spots of surrounding villages and towns to form a large scenic spot, and adopts the cooperation form of "state-owned capital+village collective+company+farmer" to deepen the interest connection among villages, village enterprises and villagers, create a community of interests, and realize unified planning, construction and operation of resources in the region.

　　Party construction leads the development of rural area groups. Taizhou City, in accordance with the idea of "total traction of Party building, regional integration, and group formation to promote common prosperity", promotes the construction of Party building alliances in the whole region, and leads and drives the common development of all administrative villages through integrating resources, overall planning, co-building brands, and misplaced development, so as to promote common prosperity through common development. There are 81 groups in Cixi City. Through the measures of party building alliance, planning association, industrial linkage and social joint governance, the party building leads the development of rural groups.

　　Grasp the connotation of high quality and strive to be the vanguard of common prosperity

　　Liu Ying, member of the Standing Committee of Hangzhou Municipal Committee of Zhejiang Province and secretary of Yuhang District Committee

　　Focus on the first priority and consolidate the material foundation of common prosperity.

　　Adhere to innovation-driven high-quality development, seize the national strategy of integrating the Yangtze River Delta and the great opportunity for provinces and cities to build a science and technology corridor in the west of Hangzhou, stimulate the innovation vitality of various subjects, inject new development momentum into economic growth, and constantly "make a big cake". In 2021, the absolute value of rural per capita disposable income in Yuhang District ranked first in the province, and the urban-rural income ratio was 1.58∶1, ranking the best in the province.

　　Focus on the three major gaps and promote the balanced coordination of common prosperity.

　　Adhere to the rich before the rich, grasp the cooperation between the east and the west of the country, the cooperation between mountains and seas in the province, and earnestly shoulder the responsibility of relatively developed regions. Innovate work measures, implement the "Rich America in the West" action, promote the "mountain city cooperation" between the future science and technology city and five towns in mountainous areas, and strive to narrow the gap between urban and rural areas. Adhere to reform and empowerment, implement measures such as standardized management and rights protection of workers with new employment forms, and pilot the trading market of intellectual property elements, promote the reform of "expanding China" and "lowering China", and accelerate the formation of an olive income distribution structure.

　　Focus on co-construction and sharing to ensure the deepening of common prosperity.

　　The key point is to take the future community and the future countryside as the starting point, promote the construction of the basic unit of common prosperity, and achieve "good cake sharing". Pay attention to giving play to the role of market players and promote the demonstration of state-owned enterprises and private enterprises to help achieve common prosperity. Make good use of the third distribution mechanism, advocate modern charity concept and new wealth concept, and create a good atmosphere for all sectors of society to participate in the construction of common prosperity.

　　Promote industrial transformation and upgrading and promote high-quality development

　　Tao Guanfeng, member of the Standing Committee of Shaoxing Municipal Committee of Zhejiang Province and executive deputy mayor

　　High-quality development and construction of a demonstration zone for common prosperity is a major political task entrusted to Zhejiang Province by the CPC Central Committee with the Supreme Leader as the core, and it is also an unprecedented major development opportunity for Shaoxing. In accordance with the "five firsts" requirements put forward by the provincial party committee for Shaoxing, Shaoxing has courageously broken new paths and shouldered heavy burdens, and strived to promote common prosperity in high-quality development and demonstrate high-quality development in common prosperity.

　　In practice, according to its own foundation and endowment, Shaoxing vigorously promotes industrial transformation and upgrading, completes the three articles of "breaking, melting and establishing", expands the total wealth, and makes a big "cake" for common prosperity.

　　"Breaking" means breaking new space. We will do a good job in the pilot reform and upgrading of traditional industries in the province, break the constraints of factors and bottlenecks in development, and continue to make room for development. With the courage of a strong man, we will improve the industry access standards, promote the cross-regional agglomeration of printing and dyeing and chemical enterprises, and embark on a new way to adjust the manufacturing space and promote the transformation and upgrading of the manufacturing industry.

　　"Melting" means melting new kinetic energy. Comply with the trend of industrial cross-border integration and promote "three plus" Promote "common wealth+digital intelligence", implement the five-year promotion action of intelligent manufacturing, build "industrial brain+future factory" by industry, and comprehensively promote the intelligent transformation of enterprises. Promote "common wealth+service", accelerate the coordinated integration of producer services and manufacturing industries, and foster the development of new formats and models. Promote "common prosperity+green", strengthen "double control" of energy, and accelerate the green development of industries.

　　"Standing" means establishing new advantages. Adhere to the leadership of the head, chain polymerization, and talent support, and successively create new industrial platforms of "10,000 mu and 100 billion yuan" in the three provinces of integrated circuits, biomedicine and advanced polymer materials, and strive to create new advantages for development.