Tichý J, Puchmayer V
Neurologická Klinika, IV. Interní Klinika, 1. lékarská fakulta, Univerzity Karlovy, Praha, Czech Republic.
Sb Lek. 1993;94(3):233-8.
We described a case of the malign course of the abdominal aorta bifurcation in a 75-year old woman with the case history of a successfully removed neurinom of the eleventh thoracic root on the left side. Despite a timely diagnosis with the recurrence of a spinal tumor being ruled out and followed by the streptokinase therapy, the course of the disease was lethal. Another six lethal cases of the thrombosis of the abdominal aorta studied retrospectively proved the necessity to improve both the diagnostics and the therapy of this disease. The possibilities of modern angiosurgery are, however, being put to very little use. In our opinion, it is better to use the term Lerich's syndrome to describe the chronic closure of the abdominal aorta bifurcation in men. In all other cases we recommend to use the descriptive term of the complete closure of the distal abdominal aorta. The complete thrombosis of the terminal abdominal aorta is not a very rare disease since it was found four times out of the total number of 4,746 dissections carried out in the period of five years (1986-1990). Reference is being made to the dissection materials of the 2nd Institute of Pathology and Anatomy of the 1st Medical Faculty of Charles University, Prague.
我们描述了一例75岁女性腹主动脉分叉处恶性病程的病例，该患者有左侧第11胸神经根神经鞘瘤成功切除的病史。尽管及时诊断并排除了脊柱肿瘤复发，随后进行了链激酶治疗，但疾病的病程仍是致命的。回顾性研究另外6例腹主动脉血栓形成致死病例，证明有必要改进该病的诊断和治疗。然而，现代血管外科手术的可能性却很少被利用。我们认为，用勒里什综合征来描述男性腹主动脉分叉处的慢性闭塞更好。在所有其他情况下，我们建议使用远端腹主动脉完全闭塞的描述性术语。腹主动脉末端完全血栓形成并非罕见疾病，因为在五年（1986 - 1990年）期间进行的4746例解剖中发现了4例。参考了布拉格查理大学第一医学院第二病理与解剖研究所的解剖材料。
