Griton P
Phlebologie. 1979 Jan-Mar;32(1):47-52.
Intra-arterial injections of vasodilators are due to Henri Reboul. After a recent disfavor, the modern equipment together with a simple and detailed technique make it possible to easily do repeated injections. The only accidents are hematomas due to insufficient compression. Use of anticoagulants is the main counter-indication. Lidocain hydrochloride or pure scylocain 1% are the safest drugs. The antispasmodic papaverine, various vasodilators, antibiotics and heparin can be added. In out patient clinics, the rate of injections is one to three per week for a series of 10 injections at the most. Stage II arteritis is the ideal situation and successes are also found in stages III and IV. During the first visit for a acute phlebitis intra-arterial injection of scylocain with 100 mg. heparin makes it possible to start the necessary therapy with anticoagulants. The simple post-phlebitis venous edema seems a case in which the technique should be used.
动脉内注射血管扩张剂是亨利·勒布尔开创的。在经历了一段时间的冷落之后,现代设备加上简单而详细的技术,使得重复注射变得轻松易行。唯一的并发症是因压迫不足导致的血肿。使用抗凝剂是主要的禁忌证。盐酸利多卡因或1%的纯司可林是最安全的药物。可添加解痉剂罂粟碱、各种血管扩张剂、抗生素和肝素。在门诊诊所,最多进行一系列10次注射,每周注射一至三次。二期动脉炎是理想的情况,在三期和四期也能取得成功。对于急性静脉炎首次就诊时,动脉内注射100毫克肝素的司可林,能够开始使用抗凝剂进行必要的治疗。单纯的静脉炎后静脉水肿似乎是适合应用该技术的病例。