Trabattoni P, Gerloni A
Minerva Med. 1977 Jan 7;68(1):37-40.
The aetiopathogenesis and diagnosis of Martorell's supra-malleolar hypertensive ulcer are discussed in the light of 3 clinical cases. Stress is laid on the overriding need for proper general management designed to normalise the serious arterial hypertension. It is felt that raubasine vasokinetics (such as Circolene), and taurine tissue oxygenators (0-due) are useful supplementary aids, particularly when administered by slow infusion. Lumbar gangliectomy will be necessary in the case of persistently painful ulcers. Its success, however, is dependent on prior normalisation of pressure. Dermo-epidermal grafts would appear to be superfluous, while frequent topical application of trophodermic creams are apparently useless.
结合3例临床病例讨论了马托雷尔踝上高血压性溃疡的病因病机及诊断。着重强调了进行适当的综合治疗以使严重的动脉高血压恢复正常的迫切必要性。认为萝巴新血管动力学药物（如Circolene）和牛磺酸组织充氧剂（0-due）是有用的辅助药物，尤其是通过缓慢输注给药时。对于持续疼痛的溃疡，有必要进行腰交感神经切除术。然而，其成功取决于压力预先恢复正常。真皮表皮移植似乎没有必要，而频繁局部应用营养皮肤霜显然没有用处。
