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[肾血管性高血压患者肾动脉狭窄球囊扩张术的结果与并发症]

[Results and complications of balloon dilatation of renal artery stenosis in patients with renovascular hypertension].

作者信息

Bennicke K, Ladefoged S D, Ulrich I, Sørensen K

出版信息

Ugeskr Laeger. 1989 Feb 27;151(9):557-60.

PMID:2522256
Abstract

During the years 1981 to 1987, 32 patients with renovascular hypertension due to renal artery stenosis were submitted to percutaneous transluminal renal angioplastic (PTRA) in four hospitals in Copenhagen. Nineteen of the interventions were technically successful and six of these patients (32%) no longer required medicine, eight (42%) were able to manage on reduced medication while the circumstances where five were concerned (26%) remained unchanged. Serious complications occurred in 16% and the mortality was 6%. The results of this treatment correspond to those reported elsewhere but the frequency of complications is high. It is concluded that the procedure should be centralized, possibly as a national function.

摘要

1981年至1987年间,哥本哈根的四家医院对32例因肾动脉狭窄导致肾血管性高血压的患者进行了经皮腔内肾血管成形术(PTRA)。其中19例手术在技术上取得成功,这些患者中有6例(32%)不再需要药物治疗,8例(42%)能够减少用药量,而另外5例(26%)的情况没有变化。严重并发症发生率为16%,死亡率为6%。该治疗结果与其他地方报道的结果相符,但并发症发生率较高。得出的结论是,该手术应集中进行,可能作为一项国家职能。

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