Nitzschner H
Z Gesamte Inn Med. 1978 Nov 1;33(21):801-6.
At 90% ulcerations of the lower legs are venously conditioned. Prerequisite for the development are a pronounced varicosis or thromboses of the deep veins which finally lead to the varicose symptom complex (edema, pigmentations, dermatosclerosis, congestive eczema and ulcus cruris). Prerequisite for healing is the removal of the varicose veins by operations or varicosclerosation and tight dressing for the prevention of edemas. The treatment of congestive dermatosis has to be performed according to the principles of the treatment of eczemas, in which case here and also in the therapy of ulcus cruris should be proceeded possibly bland, in order to avoid sensibilisations. These appear above all after the application of externa which contain sulfonamides, antibiotics, Peruvian balsam as well as preservation remedies. A strong dispensarisation helps to prevent recidivations.
小腿部90%的溃疡是由静脉病变引起的。其发病的先决条件是明显的静脉曲张或深静脉血栓形成，最终导致静脉曲张症状群（水肿、色素沉着、皮肤硬化、充血性湿疹和小腿溃疡）。愈合的先决条件是通过手术或曲张静脉硬化疗法去除曲张静脉，并采用紧身敷料预防水肿。充血性皮肤病的治疗必须按照湿疹的治疗原则进行，在这种情况下，对于小腿溃疡的治疗也应尽可能采用温和的方法，以避免致敏。尤其是在使用含有磺胺类药物、抗生素、秘鲁香脂以及防腐剂的外用药物后更容易出现致敏现象。严格的配药有助于预防复发。
