药物治疗使Page肾相关高血压得到缓解：一例病例报告。

Resolution of Page kidney-related hypertension with medical therapy: a case report.

作者信息

Myrianthefs Pavlos, Aravosita Paraskevi, Tokta Rea, Louizou Lizika, Boutzouka Eleni, Baltopoulos George

机构信息

Athens University School of Nursing, Intensive Care Unit at "KAT" General Hospital, Athens, Greece.

出版信息

Heart Lung. 2007 Sep-Oct;36(5):377-9. doi: 10.1016/j.hrtlng.2006.10.009.

DOI:10.1016/j.hrtlng.2006.10.009

PMID:17845884

Abstract

A 24-year-old man developed systolic hypertension as a result of renal contusion, perinephric fluid collection, and renal compression (Page kidney) after blunt renal trauma. The patient was treated with an angiotensin-converting enzyme inhibitor for 30 days, after which his blood pressure normalized and the medications were discontinued. Follow-up clinical and laboratory examinations at 3, 6, and 12 months showed normal results. Transient hypertension may develop in patients after blunt renal injury as a result of Page phenomenon. Appropriate medical therapy is warranted and may be successful because spontaneous resolution may be delayed or not occur at all.

摘要

一名24岁男性在钝性肾外伤后，因肾挫伤、肾周积液和肾受压（佩吉氏肾）而出现收缩期高血压。该患者接受了30天的血管紧张素转换酶抑制剂治疗，之后血压恢复正常，药物停用。在3个月、6个月和12个月时的随访临床和实验室检查结果均正常。钝性肾损伤后的患者可能因佩吉氏现象而出现短暂性高血压。适当的药物治疗是必要的，且可能会成功，因为自发缓解可能会延迟或根本不会发生。