RESUMO
The article contains a review of the literature data concerning different variants of conservative treatment of patients suffering from lower limb deep vein thrombosis. This is accompanied and followed by demonstrating the manner of alterations in the views on using various anticoagulants, as well as analysing the attitude towards the place of compression therapy in treatment of patients with lower limb deep vein thrombosis.
Assuntos
Tratamento Conservador/métodos , Extremidade Inferior/irrigação sanguínea , Veias , Trombose Venosa , Humanos , Resultado do Tratamento , Veias/diagnóstico por imagem , Veias/fisiopatologia , Trombose Venosa/diagnóstico , Trombose Venosa/terapiaRESUMO
The authors propose a system of assessment of the state of blood circulation in lower extremities which allows planning a more effective method of treatment of patients with obliterating diseases in the stage of critical ischemia.
Assuntos
Amputação Cirúrgica/métodos , Arteriopatias Oclusivas/diagnóstico por imagem , Endarterectomia/métodos , Artéria Femoral , Perna (Membro)/irrigação sanguínea , Artéria Poplítea , Simpatectomia/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Arteriopatias Oclusivas/cirurgia , Feminino , Seguimentos , Humanos , Perna (Membro)/cirurgia , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Índice de Gravidade de Doença , Ultrassonografia Doppler DuplaRESUMO
The aim of the study was to examine the potential of perftoran for the treatment of patients with critical lower limb ischemia, in whom surgical revascularization appeared not feasible in view of the type of lesion or severity of concomitant pathology. The study accrued 85 patients distributed into the basic and control groups. The control group patients (n=40) received the basic conservative therapy including rheological, vasoactive drugs, anticoagulants and aggregation inhibitors. Patients entering the basic group (n=45) were administered perftoran infusions together with the basic therapy protocol. We examined the time course of changes in the painful syndrome, ascertained the degree of ischemia, the extent of trophic disorders, the parameters of the peripheral flow in the pedal arteries by ultrasound Doppler (USD), and the intensity of the manifestations of the systemic inflammatory response. It has been proven that the use of perftoran is justified and that the preparation may be recommended for use in multimodality treatment of the patient group under consideration.
