Neubauer R L
Alaska Med. 1989 Jul-Dec;31(4):137-43.
Renal artery stenosis is an uncommon, but curable cause of systemic hypertension. The most common causes of stenosis are atherosclerosis, and fibromuscular dysplasia. Diagnosis may be difficult due to the lack of a suitable screening test, and a high index of suspicion needs to be maintained. Treatment may be with pharmacotherapy, renal angioplasty, or surgery and the choice of therapy needs to be tailored to the individual patient. Once a stenotic lesion is discovered in a hypertensive patient, the functional significance is not always clear cut. Fibromuscular dysplasia may be a systemic disease in some cases, and may affect the central nervous system.
肾动脉狭窄是一种不常见但可治愈的全身性高血压病因。狭窄的最常见原因是动脉粥样硬化和纤维肌发育不良。由于缺乏合适的筛查试验，诊断可能困难，因此需要保持高度怀疑指数。治疗可采用药物治疗、肾血管成形术或手术，治疗方案的选择需要根据个体患者量身定制。一旦在高血压患者中发现狭窄病变，其功能意义并不总是明确的。在某些情况下，纤维肌发育不良可能是一种全身性疾病，可能会影响中枢神经系统。
