Pokrovskiĭ A V, Ustinova S E, Tursunov B Z, Asamov R E, Uchitel' I A, Bulkina O S, Doguzhieva R M
Grud Serdechnososudistaia Khir. 1991 Aug(8):3-6.
The results of examination and treatment by surgery of 103 patients with vasorenal hypertension are analysed. Retromboses and restenoses of the reconstructed renal arteries and grafts and uncorrected hyperaldosteronism were the most frequent causes of the poor results. Adequate reconstruction of the renal arteries leads to correction of hyperaldosteronism in patients with normal or high activity of plasma renin. Low-renin secondary hyperaldosteronism in patients with vasorenal hypertension is an indication for simultaneous correction.
分析了103例肾血管性高血压患者的检查结果及手术治疗情况。重建肾动脉和移植物的再血栓形成、再狭窄以及未纠正的醛固酮增多症是导致治疗效果不佳的最常见原因。对于血浆肾素活性正常或升高的患者，充分重建肾动脉可纠正醛固酮增多症。肾血管性高血压患者的低肾素继发性醛固酮增多症是同时进行纠正的指征。
