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[继发性肢端循环障碍的鉴别诊断问题]

[Differential diagnostic problems in secondary acral circulatory disorders].

作者信息

Preuss E G, Hänsgen K, Podhaisky H, Sternitzky R

出版信息

Z Gesamte Inn Med. 1983 Mar 15;38(6):179-86.

PMID:6306935
Abstract

The broadly subdivided symptomatology of disturbances of the secondary acral blood supply, in which Raynaud's syndrome with its variants occupies a preferred position, demands solid basic knowledge of the physician, since triggering function or supporting permanent disturbance belong to a great number of basic diseases or primary disturbing factors. Thus the practicing physician has to do with comprehensive differential-diagnostic considerations with the aim of the correct recognition of the primary basic disease or noxa for the purpose of consequent induction of therapy. Angiological basis examinations, simple functional tests, a fundamental general physical examination, X-ray pictures granted for necessary and ECG-records as well as chemical laboratory findings alleviate the finding of the diagnosis like an exactly got anamnesis. In this therapeutic management subspecialists have then certainly only for a smaller part the task of further diagnostic clarification and therapeutic advice.

摘要

继发性肢端血液供应障碍的广泛细分症状学中,雷诺综合征及其变体占据优先地位,这要求医生具备扎实的基础知识,因为引发功能或支持永久性障碍属于大量基础疾病或原发性干扰因素。因此,执业医生必须进行全面的鉴别诊断考虑,以便正确识别原发性基础疾病或病因,从而进行后续治疗。血管学基础检查、简单功能测试、基本的全身体格检查、必要的X线片和心电图记录以及化学实验室检查结果,如同准确获取的病史一样,有助于诊断的确定。在这种治疗管理中,专科医生进一步进行诊断澄清和提供治疗建议的任务当然只占较小部分。

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