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肾血管性高血压和高安氏病。

Renovascular hypertension and Takayasu's disease.

作者信息

Lagneau P, Michel J B

出版信息

J Urol. 1985 Nov;134(5):876-9. doi: 10.1016/s0022-5347(17)47502-1.

Abstract

A total of 18 patients underwent surgical correction of renal hypertension secondary to Takayasu's disease after unsuccessful maximum medical therapy. Although the patients required an extensive surgical procedure, the morbidity and mortality rates were low (1 perioperative death in 18 patients). Followup showed that 67 per cent of the patients were cured of the hypertension and 28 per cent were improved. The results appear as good as those seen in the treatment of renovascular hypertension owing to fibromuscular disease or atherosclerosis.

摘要

在最大程度的药物治疗失败后,共有18例患者接受了针对高安氏病继发肾性高血压的外科矫正手术。尽管这些患者需要进行广泛的外科手术,但发病率和死亡率较低(18例患者中有1例围手术期死亡)。随访显示,67%的患者高血压得到治愈,28%的患者病情有所改善。结果与因纤维肌性疾病或动脉粥样硬化所致肾血管性高血压的治疗效果相当。

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