| 赵绚德,金星.中西医结合治疗坏死期血栓闭塞性脉管炎200例观察[J].中国中西医结合杂志,1990,(12):729-731,709 |
| 中西医结合治疗坏死期血栓闭塞性脉管炎200例观察 |
| Clinical Observation on 200 Cases of Necrosis Thromboangiitis Obliterans |
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| DOI： |
| 中文关键词: 血栓闭塞性脉管炎 体外血栓 纤维蛋白原 |
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| 中文摘要: |
| 中西医结合治疗坏死期血栓闭塞性脉管炎200例,取得良好效果。治疗前后部分患者经纤维蛋白原和体外血栓检测对比,治疗后血浆纤维蛋白原含量和体外血栓各值明显下降(P<0.05～0.001);大部分患者溃疡及坏疽创面顺利愈合,截肢率为9.94%,截肢平面下降。 |
| 英文摘要: |
| Two hundred cases of necrosis thromboangiitis obliterans(199 males,1 females,age 17～63. years)were observed.The illness course averaged more than 5 years.Focuses of upper limbs were 6 cases and those of lower limbs 194 cases.98 cases and 102 cases suffered from ulcer and gangrene respectively.100 cases belonged to the first degree,62 cases to the second degree,38 cases to the third degree of Ⅲ stage 171 cases were treated by the combination of TCM and WM except 3 cases which were actively discharged.and 26 cases which were to be given amputation.Results:90 cases within 171 cases were cured,52 cases were improved obviously,7 cases improved,5 cases ineffective and 17 cases to be given amputation.The writers regard three principles should be followed in the treatment of necrosis thromboangiitis obliterans by the combination of TCM and WM.(1)The main importance was to improve blood circulation to remove blood stasis.(2)Controlling infection was the key point,effective antibiotics and hormone should be added besides these herbal medicines for clearing away heat and toxic materials.(3)General protecting therapy,performing various local operations on right period on the basis of improvement of blood circulation of the involved limbs,the wound could heal successfully.The writers suggests that the amputation should not be given above the level of the main artery obliterans. |
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