Danel O, Dabrowski G, Bachet J, Lucsko M, Beaufils H, Rohan J E, Smith P, Loirat P
Presse Med. 1985 May 18;14(20):1143-5.
Two patients developed anuria associated with tight stenosis, though not complete obstruction, of the renal arteries. This rare and little known accident is found in atheromatous patients with severe arterial hypertension of renovascular origin. It usually occurs when blood pressure falls under the influence of a precipitating factor. Diagnosis rests on angiography. Diuresis is resumed immediately after surgical revascularization. The operation must be performed in every case, even after a long delay, since the kidneys remain viable for a long time due to the development of an extensive collateral circulation. Such anurias are particularly severe in patients with poor underlying condition and when vascular lesions are diffuse.
两名患者出现无尿，伴有肾动脉严重狭窄（虽非完全阻塞）。这种罕见且鲜为人知的情况见于患有肾血管性起源的严重动脉高血压的动脉粥样硬化患者。它通常发生在血压因促发因素的影响而下降时。诊断依靠血管造影。手术重建血管后立即恢复利尿。即使在长时间延误后，每种情况都必须进行手术，因为由于广泛侧支循环的发展，肾脏在很长一段时间内仍保持存活。这种无尿在基础状况差的患者以及血管病变弥漫时尤为严重。
