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[综合门诊部血管病科下肢缺血综合征的鉴别诊断]

[Differential diagnosis of ischemic syndrome of the lower extremities at an angiology department of a polyclinic].

作者信息

Serkina A V, Negreĭ V F, Shalamova I V

出版信息

Kardiologiia. 1989 Mar;29(3):53-6.

PMID:2733338
Abstract

A total of 1545 patients, referred with the diagnosis of obliterating endarteritis to the angiologic unit of the Irkutsk Vascular Centre from various other medical institutions, are examined. Differential diagnosis of the ischemic lower limb syndrome, rooted in vascular and other diseases, is shown to be possible, using noninvasive diagnostic procedures on an outpatient basis. The diagnosis of obliterating endarteritis was only verified in 18.2% of the patients. Atherosclerosis was detected in 41.2% of the patients, aortoarteritis, in 4.7%, diabetic angiopathy, in 5.6%, and nonvascular pathology, in 30.3%. A schedule is proposed for differential diagnosis of the lower limb ischemic syndrome.

摘要

共有1545名来自其他各类医疗机构、被诊断为闭塞性动脉内膜炎并转诊至伊尔库茨克血管中心血管科的患者接受了检查。结果表明,利用门诊无创诊断程序,对源于血管疾病及其他疾病的下肢缺血综合征进行鉴别诊断是可行的。仅18.2%的患者被确诊为闭塞性动脉内膜炎。41.2%的患者检测出动脉粥样硬化,4.7%的患者患有大动脉炎,5.6%的患者患有糖尿病性血管病,30.3%的患者存在非血管性病变。本文提出了下肢缺血综合征的鉴别诊断方案。

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