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肾自体移植治疗放疗所致肾血管性高血压的效用

Usefulness of Renal Autotransplantation for Radiotherapy-induced Renovascular Hypertension.

作者信息

Wakabayashi Shinichi, Takaoka Hiroyuki, Miyauchi Hideaki, Sazuka Tomokazu, Saito Yuichi, Sugimoto Kazumasa, Funabashi Nobusada, Ichikawa Tomohiko, Matsubara Hisahiro, Kobayashi Yoshio

机构信息

Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Japan.

Department of Frontier Surgery, Chiba University Graduate School of Medicine, Japan.

出版信息

Intern Med. 2019 Jul 1;58(13):1897-1899. doi: 10.2169/internalmedicine.2001-18. Epub 2019 Feb 25.

DOI:10.2169/internalmedicine.2001-18
PMID:30799345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6663535/
Abstract

We experienced a young woman with congestive heart failure (CHF) caused by renovascular hypertension (RVH) and subsequent hypertensive heart disease. She underwent tumor resection and intraoperative radiation therapy because of neuroblastoma at age 2. She was diagnosed with RVH and hypertensive heart disease due to radiation-induced renal artery stenosis at age 12. Thereafter, she was hospitalized with CHF caused by uncontrolled RVH at age 19, and renal autotransplantation with extraction of left kidney was performed after the recovery of CHF. Her blood pressure has been well controlled without CHF readmission during four years of follow-up after the operation.

摘要

我们接诊了一位年轻女性，她因肾血管性高血压（RVH）及后续的高血压性心脏病导致充血性心力衰竭（CHF）。她在2岁时因神经母细胞瘤接受了肿瘤切除及术中放射治疗。12岁时，她被诊断出患有因放射诱发的肾动脉狭窄导致的RVH和高血压性心脏病。此后，她在19岁时因RVH控制不佳而出现CHF并住院，在CHF恢复后进行了左肾摘除的自体肾移植手术。术后四年的随访期间，她的血压得到了良好控制，未再次因CHF入院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cbf/6663535/eb33988bfd78/1349-7235-58-1897-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cbf/6663535/660be9ea88e5/1349-7235-58-1897-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cbf/6663535/32d191ae5a47/1349-7235-58-1897-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cbf/6663535/eb33988bfd78/1349-7235-58-1897-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cbf/6663535/660be9ea88e5/1349-7235-58-1897-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cbf/6663535/32d191ae5a47/1349-7235-58-1897-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cbf/6663535/eb33988bfd78/1349-7235-58-1897-g003.jpg

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