Langeron P
Phlebologie. 1984 Oct-Dec;37(4):399-408.
The physiopathological analysis of post-phlebitic disorders enables us to throw light upon several pathogenic mechanisms. With regard to physiopathology it is possible to distinguish: the obstructive syndrome, linked with the obstruction of a large venous collector; the supply syndrome: post-phlebitic superficial venous deficiency; the repermeation syndrome: post-phlebitic deep venous deficiency; the restrictive syndrome, characterized by the deterioration of the venous distensibility; mixed syndromes in which various pathogenic mechanisms are involved. These various pathological processes eventually result in a state of chronic venous stasis, characterized at the microcirculatory level by the triggering- off of a series of vicious circles which are at the root of a real tissular illness, added to which are the trophic disorders which cause the illness to be serious.
静脉炎后病症的病理生理分析使我们能够阐明几种致病机制。就病理生理学而言,可以区分:阻塞综合征,与大静脉收集器的阻塞有关;供应综合征:静脉炎后浅静脉功能不全;再通综合征:静脉炎后深静脉功能不全;限制性综合征,其特征为静脉扩张性恶化;涉及多种致病机制的混合综合征。这些不同的病理过程最终导致慢性静脉淤滞状态,在微循环水平上其特征是引发一系列恶性循环,而这些恶性循环是真正组织疾病的根源,此外还有导致病情严重的营养障碍。