Maliakova A, Grozdinski L, Raĭchev N, Doĭchinov A
Vutr Boles. 1987;26(5):76-82.
The frequency of carotid pathology and of some risk factors in the genesis of atherosclerosis was studied in 189 patients. The patients were classified into two groups: group A--58 persons without clinical data for atherosclerosis (conditionally healthy persons); group B--131 patients with chronic arterial failure in the limbs. By means of Doppler sonography a low incidence of carotid pathology was established in group A (3.4%) and a significantly higher incidence in group B (38%). The results were confirmed angiographically. The risk factor were more frequent in group B than in group A. The atherosclerotic process affects simultaneously the peripheral, carotid and coronary arteries. This implies active screening of the carotid arteries in patients with clinically manifested chronic arterial failure in the limbs of with ischemic heart disease. The method of Doppler sonography is the most suitable for that.
对189例患者的颈动脉病变频率及动脉粥样硬化发生过程中的一些危险因素进行了研究。患者分为两组：A组——58例无动脉粥样硬化临床资料的患者（条件健康者）；B组——131例肢体慢性动脉功能不全患者。通过多普勒超声检查发现，A组颈动脉病变发生率较低（3.4%），B组则显著较高（38%）。血管造影证实了这些结果。B组的危险因素比A组更常见。动脉粥样硬化过程同时影响外周动脉、颈动脉和冠状动脉。这意味着对于有临床表现的肢体慢性动脉功能不全或缺血性心脏病患者，应积极筛查颈动脉。多普勒超声检查方法最适合于此。
