Rigdon E E, Butkus D E
Division of Renal Diseases, University of Mississippi Medical Center.
J Miss State Med Assoc. 1991 Apr;32(4):121-4.
Renal dysfunction due to renal artery occlusive disease is potentially reversible and this diagnosis should be considered in all patients with renal failure, especially in patients with other manifestations of occlusive peripheral vascular disease, those with severe hypertension, and those over 45 or under 20 years of age at the onset of hypertension (i.e., older or younger than the usual age for onset of "essential" hypertension). Renovascular disease should also be suspected in hypertensive patients with mild to modest impairment of renal function who demonstrate a sudden worsening of renal function following administration of an angiotensin-converting enzyme inhibitor. Effective and safe techniques for renal revascularization are available in almost all cases to achieve greater longevity and improved quality of life, as well as to reduce the economic impact of chronic renal failure and renovascular hypertension.
肾动脉闭塞性疾病所致的肾功能障碍可能是可逆的，所有肾衰竭患者均应考虑这一诊断，尤其是伴有外周血管闭塞性疾病其他表现的患者、重度高血压患者，以及高血压发病时年龄大于45岁或小于20岁的患者（即早于或晚于“原发性”高血压通常发病年龄）。对于肾功能轻度至中度受损、服用血管紧张素转换酶抑制剂后肾功能突然恶化的高血压患者，也应怀疑存在肾血管疾病。几乎在所有病例中都可采用有效且安全的肾血管重建技术，以延长寿命、改善生活质量，并减少慢性肾衰竭和肾血管性高血压的经济影响。
