Watts R A, Hoffbrand B I
Department of Medicine, Whittington Hospital, London, UK.
J Hum Hypertens. 1987 Sep;1(2):65-71.
Renovascular hypertension is an unusual complication of renal trauma, occurring in approximately 5% of cases. It occurs predominantly in young males following road traffic accidents (RTA) or blunt abdominal trauma. The interval between injury and development of hypertension varies from two days to 14 years but presentation may be acute with hypertensive encephalopathy. Hypertension developing within a few months of injury may be treated conservatively. Conservative treatment more than one year after injury is associated with an increased risk of persistent hypertension. All cases of renal trauma should be followed with regular blood pressure (BP) recording for at least the first year after injury.
肾血管性高血压是肾创伤的一种罕见并发症，约5%的病例会出现。它主要发生在年轻男性身上，多由道路交通事故（RTA）或腹部钝性创伤所致。损伤与高血压发生之间的间隔时间从两天到14年不等，但也可能急性发作并伴有高血压脑病。损伤后几个月内出现的高血压可采用保守治疗。损伤一年后仍采用保守治疗会增加持续性高血压的风险。所有肾创伤病例在受伤后的至少第一年都应定期记录血压（BP）进行随访。
