Matthes D, Mörl H
Dtsch Med Wochenschr. 1979 May 25;104(21):772-5. doi: 10.1055/s-0028-1103985.
The value of quantitative (venous-occlusion plethysmography), semiquantitative (ultrasound-Doppler method; walking distance; duration of bicycle ergometry) and metabolic (lactate, pyruvate) tests was assessed in 41 patients with arterial occlusive disease of the upper leg type. It was demonstrated that blood pressure measurement using the Doppler method is of great importance. Significant differentiation between normal and impaired blood flow was obtained with venous-occulsion plethysmography for both "first flow" and "peak flow". The diagnostic value as to the degree of peripheral arterial disease was similar for plethysmography and Doppler methods. Duration of bicycle ergometry provided an important pointer to the degree of functional impairment of the affected extremity. The level of lactate and pyruvate in femoral venous blood is suitable more for serial controls and assessment of treatment in patients in whom haemodynamic studies have already clarified the diagnosis of impaired blood flow.
对41例患有大腿型动脉闭塞性疾病的患者进行了定量（静脉阻塞体积描记法）、半定量（超声多普勒法、步行距离、自行车测力计运动持续时间）和代谢（乳酸、丙酮酸）测试。结果表明，使用多普勒法测量血压非常重要。静脉阻塞体积描记法在“初血流”和“峰值血流”方面，均能显著区分正常血流和血流受损情况。体积描记法和多普勒法对外周动脉疾病程度的诊断价值相似。自行车测力计运动持续时间为患肢功能受损程度提供了重要指标。股静脉血中乳酸和丙酮酸水平更适合对血流动力学研究已明确诊断为血流受损的患者进行连续监测和治疗评估。
