Eipper D F, Gifford R W, Stewart B, Alfidi R J, McCormack L J, Vidt D G
Am J Cardiol. 1976 Jan;37(1):48-52. doi: 10.1016/0002-9149(76)90498-7.
A study of 87 patients surgically treated for renal arterial stenosis revealed that upper abdominal bruits were heard more frequently in patients whose stenosis was due to fibrous disease than to atherosclerosis. A diastolic bruit in a patient with fibrous disease of the renal artery usually indicated a favorable surgical result. Conclusions regarding the prognostic value of diastolic bruits in atherosclerotic renal artery disease must be deferred until a larger number of patients with this finding can be studied. When hypertension of less than 3 year's duration was combined with presence of a diastolic bruit, 17 or 18 patients had a favorable surgical outcome. An abdominal bruit should be carefully sought for in all patients evaluated for hypertension; when found, should be characterized acurately, because of the important diagnostic and prognostic information it may provide.
一项针对87例接受肾动脉狭窄手术治疗患者的研究表明，狭窄由纤维性疾病引起的患者比由动脉粥样硬化引起的患者更常出现上腹部杂音。肾动脉纤维性疾病患者出现舒张期杂音通常表明手术结果良好。关于舒张期杂音在动脉粥样硬化性肾动脉疾病中的预后价值的结论，必须推迟到能够研究更多有此发现的患者之后才能得出。当病程小于3年的高血压与舒张期杂音同时存在时，17或18例患者手术结果良好。在所有接受高血压评估的患者中都应仔细寻找腹部杂音；一旦发现，应准确描述其特征，因为它可能提供重要的诊断和预后信息。
