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[血栓闭塞性脉管炎:实践观念]

[Thromboangiitis obliterans: notions for practice].

作者信息

Calanca Luca, Alatri Adriano, Krieger Caroline, Corpataux Jean-Marc, Mazzolai Lucia

机构信息

Service d'angiologie, Département cœur-vaisseaux, CHUV, 1011 Lausanne.

Service de chirurgie vasculaire, Département cœur-vaisseaux, CHUV, 1011 Lausanne.

出版信息

Rev Med Suisse. 2017 Dec 6;13(586):2129-2133.

Abstract

Thromboangiitis obliterans is an occlusive vasculopathy affecting small- and medium-size arteries. It can result in severe ischemic status. Thrombophlebitis can be associated. The exact etiology has still to be elucidated. Smoking is the main contributing factor. Diagnosis is based on clinic and paraclinic context, as well as exclusion of other vascular pathologies. Its management consists in complete smoking cessation and instauration of vasodilator treatment. Revascularization is an option that has to be evaluated on a case by case basis. New promising therapeutic approaches are emerging.

摘要

血栓闭塞性脉管炎是一种影响中小动脉的闭塞性血管病。它可导致严重的缺血状态。可伴有血栓性静脉炎。确切病因仍有待阐明。吸烟是主要促成因素。诊断基于临床和辅助检查情况,以及排除其他血管病变。其治疗包括完全戒烟和开始血管扩张剂治疗。血管重建是一种必须逐案评估的选择。新的有前景的治疗方法正在出现。

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