Langeron P
Phlebologie. 1979 Apr-Jun;32(2):199-220.
Various pathological circumstances, and especially: acute venous thrombosis, superficial venous insufficiency and post-phlebitic disease, may upset the conditions of venous circumlation. Among the major pathological processes that may thus be involved, one can underline: -- Venous obstruction, whose physiopathology is different in the acute thrombosis and in the post-phlebitic phase. Especially studied in this work are: the phases of the enry into the acute venous stasis, which may lead to venous gangrene -- the offset and non offset obstructive syndromes. The offsetting of a venous obstruction depending on the development of a sufficient and effective substitute circulation. -- The orthostatic reflux may involve the superficial venous network (superficial venous insufficiency) or the deep one (deep venous insufficiency). In either case, the insufficiency of the communicating veins may complicate the primary venous insufficiency. -- On the tissue level, various pathogenic processes induce a peripheral venous stasis, generating problems that may be classed under three headings: lymphatic repercussions, arterial problems and dysfunctions of the arterio-venous anastomoses. These various processes and their consequences on the tissue level, are studied.
多种病理情况，尤其是急性静脉血栓形成、浅静脉功能不全和血栓后疾病，可能会扰乱静脉循环状况。在可能涉及的主要病理过程中，可以强调以下几点：——静脉阻塞，其病理生理学在急性血栓形成和血栓后阶段有所不同。本研究特别关注的是：进入急性静脉淤滞的阶段，这可能导致静脉坏疽——阻塞性综合征的发生与未发生情况。静脉阻塞的缓解取决于充分有效的替代循环的发展。——直立性反流可能涉及浅静脉网络（浅静脉功能不全）或深静脉网络（深静脉功能不全）。在任何一种情况下，交通静脉功能不全都可能使原发性静脉功能不全复杂化。——在组织层面，各种致病过程会导致外周静脉淤滞，产生的问题可归为三类：淋巴回流影响、动脉问题和动静脉吻合功能障碍。对这些不同过程及其在组织层面的后果进行了研究。
