Savel'ev V S, Koshkin V M, Bogdanets L I
Grud Serdechnososudistaia Khir. 1990 Dec(12):49-51.
Principal problems of nonoperative treatment of patients with chronic obliterating diseases of the lower limb arteries are discussed. The main directions of nonoperative treatment are marked out, the indications for out- and in-patient treatment and for the use in clinical practice of promising methods of treatment (quantum and laser therapy, hemosorption, plasmapheresis) are determined. As the result of adequate nonoperative therapy (if the conditions suggested by the authors are abided by) the patients' working capacity is maintained, the need for in-patient treatment is lessened, and the term of disability is reduced. This dictates the need for setting apart a special angiological service in out-patient clinics which calls for special medical equipment and training and specialization of angiologists, beginning from medical institutes.
讨论了下肢动脉慢性闭塞性疾病患者非手术治疗的主要问题。明确了非手术治疗的主要方向，确定了门诊和住院治疗的适应症以及有前景的治疗方法（量子和激光疗法、血液吸附、血浆置换）在临床实践中的应用适应症。通过适当的非手术治疗（如果遵循作者提出的条件），患者的工作能力得以维持，住院治疗的需求减少，残疾期限缩短。这就要求在门诊设立专门的血管病科，这需要特殊的医疗设备、血管病专家的培训和专业化，从医学院校就开始。
