Schütz R M
MMW Munch Med Wochenschr. 1978 Jan 6;120(1):37-42.
The earlier an arterial occlusive disease is recognized and intensively treated the more favorable the longterm prognosis. Such therapy includes to an equal extent the elimination or treatment of "risk factors" and intensive collateral training. Assessment of the course of this, per se chronic, disease requires longterm observation. Contrary to general opinion, however, neither clinical angiological findings nor most of the customary angiological methods can give a satisfactorily reliable judgment as a rule: only venous obstruction plethysmography and the Doppler ultrasonic flow measurements provide objective figures. The latter are suitable for general practice with regard to both expenditure of time and money and to the accuracy of their measurements.
动脉闭塞性疾病越早被识别并得到积极治疗,其长期预后就越有利。这种治疗在同等程度上包括消除或治疗“危险因素”以及强化侧支循环训练。评估这种本身属于慢性疾病的病程需要长期观察。然而,与一般观点相反的是,通常情况下,临床血管学检查结果以及大多数常用的血管学方法都不能给出令人满意的可靠判断:只有静脉阻塞体积描记法和多普勒超声血流测量能提供客观数据。就时间和金钱成本以及测量准确性而言,后者适用于一般临床实践。