Creutzig A
Abteilung für Angiologie, Medizinischen Hochschule Hannover.
Versicherungsmedizin. 1991 Oct 1;43(5):154-8.
The symptom of intermittent claudication indicates a generalised arteriosclerosis. The high mortality of these patients is due to myocardial infarction, cerebrovascular events and rupture of aortic aneurysms. Prognostic factors for the progression of peripheral occlusive arterial disease to rest pain and trophical lesions are persistent nicotine consumption, arterial occlusions on more than one extremity, brachiopedal pressure quotient less than 0.5 and diabetes mellitus. Therapy of choice in most cases is the walking exercise. When the claudication distance remains very short or decompensation of peripheral circulation is imminent, reopening procedures like percutaneous transluminal angioplasty should be performed. If they are successless a prostanoid therapy is able to relief the complaints.
间歇性跛行症状提示全身性动脉硬化。这些患者的高死亡率归因于心肌梗死、脑血管事件和主动脉瘤破裂。外周闭塞性动脉疾病进展为静息痛和营养性病变的预后因素包括持续吸烟、多肢体动脉闭塞、臂踝压力指数小于0.5以及糖尿病。大多数情况下的首选治疗方法是步行锻炼。当跛行距离仍然很短或外周循环即将失代偿时，应进行诸如经皮腔内血管成形术等再通手术。如果手术不成功，前列腺素治疗能够缓解症状。
