计算机断层扫描引导下化学性肾交感神经调制治疗顽固性高血压：一例报告。
Computed tomography-guided chemical renal sympathetic nerve modulation in the treatment of resistant hypertension: A case report.
作者信息
Luo Ge, Zhu Jian-Jun, Yao Ming, Xie Ke-Yue
机构信息
Department of Anesthesiology and Pain, The Affiliated Hospital of Jiaxing University, Jiaxing 314000, Zhejiang Province, China.
出版信息
World J Clin Cases. 2021 Nov 16;9(32):9970-9976. doi: 10.12998/wjcc.v9.i32.9970.
BACKGROUND
Resistant hypertension (RH) has always been a difficult problem in clinical diagnosis and treatment. At present, there is no recognized safe and effective minimally invasive treatment.
CASE SUMMARY
An 80-year-old woman was admitted to hospital due to trigeminal neuralgia (TN). The patient had a history of RH for more than 10 years and her blood pressure (BP) was not well-controlled. Before the treatment for TN, we decided to perform chemical renal sympathetic denervation with ethanol in the Pain Department of our hospital. One year after the operation, she stopped taking antihypertensive drugs, and her BP was satisfactorily controlled within 4 years after surgery.
CONCLUSION
Computed tomography-guided chemical renal sympathetic modulation may be a feasible method for the treatment of RH.
背景
顽固性高血压（RH）一直是临床诊断和治疗中的难题。目前，尚无公认的安全有效的微创治疗方法。
病例摘要
一名80岁女性因三叉神经痛（TN）入院。该患者有10多年的RH病史，血压控制不佳。在治疗TN之前，我们决定在我院疼痛科用乙醇进行化学性肾交感神经去神经术。术后1年，她停止服用降压药，术后4年内血压得到满意控制。
结论
计算机断层扫描引导下的化学性肾交感神经调制可能是治疗RH的一种可行方法。
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