Levine J M
Division of Geriatrics, St. Luke's/Roosevelt Hospital Center, New York.
Geriatrics. 1990 Jun;45(6):32-4, 39-42.
Leg ulcers are a common problem encountered in the elderly. Because their origins are often multifactorial, it is essential for the primary care physician to have a sound knowledge of differential diagnosis to institute proper treatment. This review discusses salient historical points as well as bedside physical examination techniques useful in patients presenting with leg ulcer. Also discussed are pathophysiology of most common types of ulcer, including venous disease, arterial disease, diabetes, and physical agents. Less common causes of leg ulcer are also reviewed.
腿部溃疡是老年人中常见的问题。由于其病因往往是多因素的，对于初级保健医生来说，掌握鉴别诊断的扎实知识以进行恰当治疗至关重要。本综述讨论了对于腿部溃疡患者有用的重要病史要点以及床边体格检查技术。还讨论了最常见类型溃疡的病理生理学，包括静脉疾病、动脉疾病、糖尿病和物理因素。也对腿部溃疡较不常见的病因进行了综述。
