Bykov V M, Birman E A, Kolobova O I
Kardiologiia. 1989 Mar;29(3):59-62.
Predominantly regional disorders of blood aggregation control, aggravating with the progress of ischemia, were detected in patients with obliterating thromboangiitis of the legs. Local overstrain and exhaustion of compensatory anticoagulation and thrombolytic factors developed in the presence of critical ischemia of the limbs and were accompanied by developing regional prethrombotic state. Regional administration (intra-arterial infusions) of anticoagulants and thrombolytic agents appears to be the most justified line of remedial therapy in these patients.
在下肢闭塞性血栓性脉管炎患者中检测到主要是血液聚集控制的局部紊乱,且随着缺血进展而加重。在肢体严重缺血的情况下,局部出现代偿性抗凝和溶栓因子的过度应激和耗竭,并伴有局部血栓前状态的发展。对于这些患者,局部给药(动脉内输注)抗凝剂和溶栓剂似乎是最合理的治疗方法。