Schoop W
Thoraxchir Vask Chir. 1976 Aug;24(4):333-7. doi: 10.1055/s-0028-1095939.
Arterial occlusions limited to the lower leg generally respond well to therapeutic measures. Claudicatio intermittens can, in most instances, be adequately improved by exercise. Major amputations at stages III/IV can be avoided in practically all cases by conservative measures, provided the poplitea pulse is distinctly palpable. Patients with crural occlusion and necrosis tend to develop trophic lesions also at later times. Sympathectomy will be unable to prevent such recurrences where nicotine inhalation, the most important factor determining the prognosis, is continued.
局限于小腿的动脉闭塞通常对治疗措施反应良好。在大多数情况下,间歇性跛行可通过运动得到充分改善。如果腘动脉搏动明显可触及,几乎所有Ⅲ/Ⅳ期患者均可通过保守治疗避免大截肢。小腿闭塞和坏死的患者在后期也容易出现营养性病变。如果继续吸入尼古丁(这是决定预后的最重要因素),交感神经切除术将无法预防此类复发。