Thiele P, Runge E, Hempel G, Gatzweiler C, Geissler S, Schröder H E
Abteilung für Innere Medizin, Medizinischen Akademie, Carl Gustav Carus Dresden.
Z Gesamte Inn Med. 1987 Dec 1;42(23):661-7.
Angiologists, vascular surgeons, and angiographers inform about the actual state of the therapy of the arterial occlusive diseases of the legs. The degree I of therapy comprises the conservative treatment for the improvement of the macrocirculation and the normalisation of the disturbed microcirculation, taking into particular consideration the therapy with antiviscositant drugs. The main chapter ends with the possibilities of the influence on the arteriosclerotic vascular processes as well as with the necessary rehabilitative measures. In the paragraph about the degree II of therapy the indications, contraindications, methods and results of the isolated and combined percutaneous transluminal angioplasty, the systemic and local fibrinolysis as well as the reconstructive vascular operations are represented.
血管病学家、血管外科医生和血管造影师介绍了腿部动脉闭塞性疾病的实际治疗状况。一级治疗包括改善大循环和紊乱微循环正常化的保守治疗,尤其要考虑使用抗粘滞药物的治疗。主要章节最后介绍了对动脉硬化血管病变的影响可能性以及必要的康复措施。在关于二级治疗的段落中,阐述了孤立及联合经皮腔内血管成形术、全身及局部纤维蛋白溶解以及血管重建手术的适应证、禁忌证、方法和结果。