血栓闭塞性血管炎诊断与治疗进展

血栓闭塞性血管炎是一种罕见的、累及中青年四肢中小动脉和静脉的炎症性闭塞性疾病。由于在男性吸烟者中多见,该病被认为可能是吸烟触发的自身免疫反应。诊断主要基于临床表现,目前尚无特异的诊断试验和血清学阳性标记物,血管造影有助于明确诊断。血栓闭塞性血管炎的治疗较为棘手,预后较差。现综述该病的诊治现状和进展,供临床参考。

Treating Principles and Methods of Traditional Chinese Medicine in Treatment of Peripheral Vascular Diseases

Peripheral vascular disease embraces a variety of conditions such as thromboangiitis obliterans, Raynaud's disease, thrombophlebitis, aorto-arteritis, obliterate atherosclerosis, varix or phlebothrombosis of the lower limb. Although the affected blood vessel may be arterial or venous one and caused either by inflammation or degenerate changes, they share common symptoms and signs, such as blood stasis, ischemia, thrombosis, ecchymosis, swelling, constriction or obliteration of blood vessels due to circulatory impairment. Since they share common characteristics, the treating principles and methods will be discussed as follows.

易忽视的红斑性肢痛病

红斑性肢痛病是由于循环功能障碍所出现的四肢末端发红、灼热以及疼痛等症状,其发作仅数分钟,最多几小时,常被认为是生理现象而被忽视。虽对生命无威胁,但反复发作给患者带来痛苦,而且很可能其中潜伏有原发病。因此,一旦出现类似症状应仔细检查有否原发病,如无原发病经治疗即可逐渐恢复。