Yaqoob M, McClelland P, Ahmad R
Regional Renal Unit, Royal Liverpool Hospital, UK.
Postgrad Med J. 1991 Sep;67(791):829-32. doi: 10.1136/pgmj.67.791.829.
Five patients with acute renal failure due to accelerated hypertension required regular dialysis treatment for 2-12 months (mean 8.8), before recovering sufficient renal function for dialysis to be withdrawn. Two patients who had prior evidence of chronic renal impairment remained off dialysis for 20 and 27 months before decompensating again to require regular dialysis treatment. Two patients with no prior history of renal disease have remained independent of dialysis for 32 and 48 months. The fifth patient was lost to follow-up after a 7 month dialysis-free period. Delayed recovery of renal function following accelerated hypertension is a distinct possibility and should be considered in such patients before contemplating long term strategies such as renal transplantation.
5例因急进性高血压导致急性肾衰竭的患者需要定期透析治疗2至12个月（平均8.8个月），直至肾功能恢复到足以停止透析。2例既往有慢性肾功能损害证据的患者在再次失代偿需要定期透析治疗前，分别有20个月和27个月未进行透析。2例无肾脏疾病病史的患者分别已独立于透析32个月和48个月。第5例患者在无透析7个月后失访。急进性高血压后肾功能延迟恢复是一种明显的可能性，在考虑肾移植等长期策略之前，对此类患者应予以考虑。
