Coget J M, Merlen J F
Phlebologie. 1987 Apr-Jun;40(2):489-94.
The treatment of angiolopathies is rather difficult, at this time, at least concerning functional angiopathies. It is a fact that protection against cold represents, in all angilopathies, one of the main elements of the treatment besides medications which are essentially vasoactive drugs, myorelaxants or alpha-blockers, and possibly venous tonics. Fluorescein or Sodium fluoresceinate at 5%, administered in slow intra-venous injections, represents one of the best treatment of acrocyanosis, in combination with vitamins A and D, given at the beginning of fall. Other angiolopathies, especially those of organic nature, are represented by allergic vascularitis and will be treated accordingly. In infectious and toxic forms, antibiotics should be prescribed in addition to steroids, preferred in allergic forms, especially granulomatous forms. In conclusion, the treatment of angiolopathies is extremely difficult, and must be particularly adapted to the clinical forms.
目前,血管病的治疗相当困难,至少就功能性血管病而言是这样。事实上,在所有血管病中,除了药物治疗外,防寒是主要治疗手段之一,这些药物主要是血管活性药物、肌松剂或α受体阻滞剂,也可能包括静脉张力剂。5%的荧光素或荧光素钠,缓慢静脉注射,与秋季开始时服用的维生素A和D联合使用,是治疗手足发绀的最佳方法之一。其他血管病,尤其是器质性血管病,以过敏性血管炎为代表,将进行相应治疗。在感染性和中毒性形式中,除了类固醇外还应开抗生素,在过敏性形式中,尤其是肉芽肿性形式中,类固醇是首选。总之,血管病的治疗极其困难,必须特别适应临床形式。