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振动病中的手指闭塞性动脉血管病

[Obliterating arterial angiopathy of the finger in vibration disease].

作者信息

Leyhe A

出版信息

Radiologe. 1985 Dec;25(12):582-6.

PMID:4089174
Abstract

Twenty-nine patients with a clinically verified vibration syndrome after many years of work with chain saws underwent angiography of the hand and forearm. In 62-99% of the finger arteries investigated, occlusions, kinking and (more rarely) stenoses were found, preferentially on the long fingers II, III, IV and V (with decreasing incidence). Since the vibration syndrome is recognized as an occupational disease, angiographic evaluation of the degree of severity of the vascular damage appears to be of great significance in terms of industrial and insurance law, besides providing non-invasive proof of the vasospastic component of the clinical picture.

摘要

29名从事链锯工作多年且临床确诊患有振动综合征的患者接受了手部和前臂血管造影。在所检查的手指动脉中,62%至99%发现有闭塞、扭结以及(较少见)狭窄,主要发生在食指、中指、无名指和小指(发病率依次降低)。由于振动综合征被认定为职业病,血管造影评估血管损伤的严重程度,除了能为临床表现中的血管痉挛成分提供无创证据外,在工业和保险法方面似乎也具有重要意义。

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