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下肢动脉闭塞性疾病的实用诊断(作者译)

[Practical diagnosis of arterial occlusive diseases of the lower extremities (author's transl)].

作者信息

Böhme H

出版信息

MMW Munch Med Wochenschr. 1978 Jan 6;120(1):15-20.

PMID:414107
Abstract

A peripheral arterial occlusive disease can be diagnosed by a clinical examination. Technical methods serve for documentation, definition of localization and differentiation of doubtful findings and special therapeutic measures. A definite sequence of diagnostic procedures simplifies diagnosis. History (risk factors), individual clinical or biochemical findings, intermittent claudication, pain at rest are important for the assessment of peripheral arterial circulation when considered with the appropriate differential diagnosis of various internal disease conditions, inspection, palpation and especially auscultation at rest and on effort. Ratschow's circulation test provides information on the degree of compensation. Mechanical or electronic oscillography and Doppler echography have proved valuable as technical methods for measuring post-stenotic pressure.

摘要

外周动脉闭塞性疾病可通过临床检查进行诊断。技术方法用于记录、确定病变部位、鉴别可疑发现以及采取特殊治疗措施。明确的诊断程序顺序可简化诊断过程。病史(危险因素)、个体临床或生化检查结果、间歇性跛行、静息痛等,在结合各种内科疾病的适当鉴别诊断进行考虑时,对于评估外周动脉循环很重要,包括视诊、触诊,尤其是静息和运动时的听诊。拉施霍夫循环试验可提供有关代偿程度的信息。机械或电子示波法以及多普勒超声检查已被证明是测量狭窄后压力的有价值的技术方法。

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