下肢虚血の診断のための検査法

DOI Web Site 参考文献4件
  • 中島 里枝子
    文京学院大学保健医療技術学部臨床検査学科 東京医科歯科大学血管外科バスキュラーラボ

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タイトル別名
  • Assays for the diagnosis of lower limb ischemia
  • カシキョケツ ノ シンダン ノ タメ ノ ケンサホウ

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抄録

For the diagnosis of ischemia, the observed clinical symptoms must be verified by performing tests. Although the ankle brachial pressure index (ABI) offers the simplest and fastest technique, the additional use of loading is useful for detecting mild peripheral arterial disease (PAD). Because the ankle arteries readily become calcified, blood pressure can be evaluated in the toe arteries, which are not easily calcified. Intermittent claudication should be assessed by gait representation techniques; further, resting pain, ulceration, and necrosis must be assessed by evaluating skin microcirculation. These physiologic tests are useful for assessing severity, differentiating from other causes, and indicating the timing of treatment.

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