Pokrovskiĭ A V
Kardiologiia. 1975 Aug;15(8):5-13.
Symptomatic hypertension is observed in numerous patients with elevated blood pressure. Special attention is paid in the paper to the diagnosis of coarctation of the aorta, nonspecific aortitis and renovascular hypertension. The possibility of diagnosing these lesions by means of the routine diagnostic techniques is indicated. The experimence of surgical treatment of 476 patients with coarctation of the aorta demonstrates the efficiency of the surgical procedures. No postoperative mortality cases have been observed in the recent 5 years. Non-specific aortitis that is the second-frequent process diseasing the aorta has a polymorphous clinical pattern. Hypertension is the leading symptom of aortitis. The results of various reconstructive procedures prove their high efficacy in decreasing the hypertension in patients with aortitis. According to the author's data, renovascular hypertension is found in 54% of the patients examined only on an out-patient basis. Among 354 operations, 204 included a reconstructive procedure on the renal artery. The importance of proper rehabilitation of the postoperative patients is emphasized.
许多血压升高的患者都存在症状性高血压。本文特别关注主动脉缩窄、非特异性主动脉炎和肾血管性高血压的诊断。文中指出了通过常规诊断技术诊断这些病变的可能性。对476例主动脉缩窄患者进行手术治疗的经验证明了手术程序的有效性。最近5年未观察到术后死亡病例。非特异性主动脉炎是第二常见的累及主动脉的疾病，具有多形性临床模式。高血压是主动脉炎的主要症状。各种重建手术的结果证明了它们在降低主动脉炎患者高血压方面的高效性。根据作者的数据，仅在门诊检查的患者中，54%发现有肾血管性高血压。在354例手术中，204例包括对肾动脉的重建手术。文中强调了术后患者适当康复的重要性。
