Hooten W M, Bruns H K, Hays J T
Department of Internal Medicine, Mayo Clinic Rochester, Minnesota 55905, USA.
Mayo Clin Proc. 1998 Jun;73(6):529-32. doi: 10.4065/73.6.529.
Thromboangiitis obliterans (TAO), or Buerger's disease, is an inflammatory, occlusive, and nonatherosclerotic vascular disease that most commonly affects small and medium-sized arteries and veins. The association between tobacco use and the development of TAO is incontestable; however, a substantial number of patients with TAO continue to use tobacco despite progression of disease and amputation. Herein we describe a patient with advanced TAO whose severe, refractory nicotine dependence was successfully treated in a specialized nicotine-dependence inpatient program. After cessation of smoking, the patient's disease stabilized. Inpatient nicotine-dependence treatment may represent an alternative for recidivist smokers with severe tobacco-related disease.
血栓闭塞性脉管炎（TAO），又称伯格氏病，是一种炎症性、闭塞性且非动脉粥样硬化性的血管疾病，最常累及中小动脉和静脉。吸烟与TAO发病之间的关联无可争议；然而，相当一部分TAO患者尽管病情进展且面临截肢，仍继续吸烟。在此我们描述一名晚期TAO患者，其严重的、难治性尼古丁依赖在一个专门的尼古丁依赖住院项目中得到了成功治疗。戒烟后，患者的病情稳定下来。住院尼古丁依赖治疗可能为患有严重烟草相关疾病的复吸吸烟者提供一种选择。
