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特發性 脫疸의 臨床的 考察

The Clinical Observations on Buerger´s Disease

중앙의학 1965년 8권 3호 p.291 ~ 299
朴炳敦, 朱東善,
소속 상세정보
朴炳敦 (  ) - 서울대학교 醫科大學 外科學敎室
朱東善 (  ) - 서울대학교 醫科大學 外科學敎室

Abstract


A clinical survey was made on 39 cases of Buerger´s disease admitted to S. N. U. Hospital from 1958 to 1963.
(1) Following observations were made Buerger´s disease occurs more often in the age group of 30^39. Sex incidence was male 18.5 to female, 1.
(2) 90% of the patients were smokers, of which 41% was smoking 10?20 cigarettes a day.
(3) The majority of the patients (38.5%) came to the hospital for the first time 5 to 10 years after manifestations of the initial symptoms.
(4) The initial signs and chief complaints among these cases were pain (66.6%), coldness (47. 5%), intermittent claudication (35.9%), necrosis and ulcer of the distal parts of the extremities (33.3%), in that order.
(5) By far, the lower extremities (92.5%) were affected more often than the upper extremities (5. 1%), the remaining 2.6% involved both the upper and lower extremities.
(6) The weakness or absence of arterial pulsations in the lower extremities were the dorsalis pedis artery (61. 5%), the posterior tibial artery (28.2%), the popliteal artery (7. 7%) in order of frequency.
(7) In 14 cases, narrowing or obstruction of the anterior tibial artery (28.6%), the posterior tibial artery (28, 6%) or the popliteal artery (21.4%) was observed by arteriography
(8) 89% of the cases were improved by lower lumbar sympathectomy.

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