Lohfink H D
Z Hautkr. 1987 Jan 15;62(2):125-35.
By means of a graded test system for external medicaments, we optimized and standardized the local therapy of chronic venous insufficiency (CVI) in our out-patient department: allergological tests; subjective sensitivity tests of ulcus cruris venosum; comparison of ointments with powder in the therapy of ulcus cruris venosum, objective findings, applicability of the dry therapy (Heede); comparison of external drugs containing antimicrobial chemotherapeutics with those not containing these additives in the therapy of ulcus cruris venosum; comparison of ointments containing heparinoid with lipoid-in-water emulsions without admixtures in plebological therapy. We report on the therapeutic standard. Clinically 63,8% of all patients attending our dermatologic out-patient department showed CVI (stages I to IV); 38,7% were graded "venously ill" (stages III and IV). Stage I of CVI is characterized by varicous veius without discomfort. Problems of eczema are both dermatological and phlebological problems. The therapy of CVI, however, is the dermatologist's business.
通过一种用于外用药物的分级测试系统，我们在门诊优化并规范了慢性静脉功能不全（CVI）的局部治疗：变应性试验；静脉性溃疡的主观敏感性试验；静脉性溃疡治疗中软膏与粉剂的比较、客观结果、干性疗法（海德疗法）的适用性；静脉性溃疡治疗中含抗菌化疗药物的外用药物与不含这些添加剂的外用药物的比较；在静脉病治疗中含类肝素的软膏与无添加剂的水包脂质乳剂的比较。我们报告了治疗标准。临床上，在我们皮肤科门诊就诊的所有患者中，63.8%表现为CVI（I至IV期）；38.7%被评定为“静脉病”（III期和IV期）。CVI的I期特征为有静脉曲张但无不适。湿疹问题既是皮肤病学问题也是静脉学问题。然而，CVI的治疗是皮肤科医生的工作。
