双侧肾动脉狭窄——急性肺水肿的一个病因
[Bilateral renal artery stenosis--a cause of acute pulmonary edema].
作者信息
Høieggen A, Draganov B, Os I
机构信息
Nyremedisinsk avdeling Medisinsk divisjon Ullevål sykehus 0407 Oslo.
出版信息
Tidsskr Nor Laegeforen. 2001 Jun 10;121(15):1789-90.
BACKGROUND
Renal artery stenosis may present as acute pulmonary oedema and be misinterpreted as congestive heart failure. ACE inhibitors and angiotensin-II antagonists are widely used among patients with congestive heart failure and hypertension.
MATERIAL AND METHODS
The authors present a patient with congestive heart failure caused by a combination of coronary heart disease and bilateral renal artery stenosis. The patient developed acute kidney failure secondary to ACE inhibitor and angiotensin II antagonist treatment.
RESULTS
Mechanisms behind pulmonary oedema secondary to renovascular hypertension are discussed.
INTERPRETATION
Revascularisation is the treatment of choice for this patient category.
背景
肾动脉狭窄可能表现为急性肺水肿，并被误诊为充血性心力衰竭。血管紧张素转换酶抑制剂（ACE抑制剂）和血管紧张素II拮抗剂在充血性心力衰竭和高血压患者中广泛使用。
材料与方法
作者介绍了一名由冠心病和双侧肾动脉狭窄共同导致充血性心力衰竭的患者。该患者在接受ACE抑制剂和血管紧张素II拮抗剂治疗后出现急性肾衰竭。
结果
讨论了肾血管性高血压继发肺水肿的机制。
解读
血管重建术是这类患者的首选治疗方法。
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