Kramer P H, Vacek J L
Mid-America Heart Institute, St Luke's Hospital of Kansas City, Missouri.
Postgrad Med. 1990 Jun;87(8):77-80, 83-6, 89-90. doi: 10.1080/00325481.1990.11704673.
Peripheral vascular disease imposes daily inconveniences and limitations on many patients. The primary care physician and vascular specialist can work together to alleviate the restrictions of this disorder by prompt recognition, investigation, and therapy. It is no longer necessary to wait until patients are extremely debilitated before offering intervention. Initial success rates of percutaneous transluminal (balloon) angioplasty are very high and increasing, and restenosis rates are acceptable and decreasing. The procedure is economical and has a short convalescent period and low patient risk. Physicians should be aware that underuse of medical technology may be as costly as overuse. In upcoming years, further advances will allow even more patients with peripheral vascular disease to be treated with lesser expense; lower risk; and greater salvage of lives, limbs, and life-styles.
外周血管疾病给许多患者带来了日常不便和限制。初级保健医生和血管专科医生可以共同努力，通过及时识别、检查和治疗来减轻这种疾病的限制。不再需要等到患者极度虚弱才进行干预。经皮腔内（球囊）血管成形术的初始成功率非常高且在不断提高，再狭窄率是可接受的且在下降。该手术经济实惠，恢复期短，患者风险低。医生应该意识到，医疗技术使用不足可能与过度使用一样代价高昂。在未来几年，进一步的进展将使更多外周血管疾病患者能够以更低的费用、更低的风险接受治疗，并能更好地挽救生命、肢体和维持生活方式。
