[Evaluation of arterial occlusive disease].

Berufs-Dermatosen Pub Date : 1976-01-01
U Dembowski, J Dembowski, S Teodoro
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Abstract

In giving an opinion on arterial circulation disorders, an arterial occlusion is predominant. As a rule, the diagnosis based on anamnestic data, clinical examinations and some functional tests causes no difficulties. An angiography simplifies the evaluation, but it should be carried out only to distinguish a generalized vasculopathy from a local one. The arterial occlusion is a chronic and progressive disease with coronary vessels being mainly involved. The muscular force of the patient is reduced, local infections and traumatisms menace him thus reducing his working capacity. Anticoagulants must often be given continuously, the vascular systems of the heart and the brain may be impaired. It is extremely difficult to elucidate causal relationships, especially in case of injuries suffered during military service. It is the general opinion nowadays that cold-injuries entail a limited angiitis but no generalized vasculopathy.

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【动脉闭塞性疾病的评价】。
在给动脉循环障碍的意见,动脉闭塞是主要的。通常,基于记忆资料、临床检查和一些功能检查的诊断没有困难。血管造影简化了评估,但它只能用于区分全身性血管病变和局部血管病变。动脉闭塞是一种慢性进行性疾病,主要累及冠状血管。病人的肌肉力量减少,局部感染和创伤威胁着他,从而降低了他的工作能力。抗凝剂必须经常连续给予,心脏和大脑的血管系统可能受损。要阐明因果关系是极其困难的,特别是在服兵役期间受伤的情况下。现在普遍认为,冷伤引起的是有限的脉管炎,而不是全身性的血管病变。
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