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双侧肾切除术作为终末期肾病患者难治性高血压的挽救疗法：高血压管理中的“梵天武器”—— 一例病例报告

Bilateral nephrectomy as a rescue therapy for refractory hypertension in an end stage renal disease patient: Brahmastra in hypertension management-A case report.

作者信息

Balagobi B, Niroshan V, Brammah T, Gowribahan T, Weerasinghe N

机构信息

University Surgical Unit, Teaching Hospital of Jaffna, Sri Lanka.

University Surgical Unit, Teaching Hospital of Jaffna, Sri Lanka.

出版信息

Int J Surg Case Rep. 2022 Sep;98:107566. doi: 10.1016/j.ijscr.2022.107566. Epub 2022 Sep 1.

DOI:10.1016/j.ijscr.2022.107566
PMID:36063768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9482968/
Abstract

Refractory hypertension is a challenge in End Stage Renal Disease (ESRD) patients who are on regular hemodialysis, despite the use of novel antihypertensive agents and tailor-made dialysis prescriptions. Bilateral nephrectomy seems to be a forgotten option. We present a case history of 16 year old boy who underwent open bilateral nephrectomy as a rescue therapy for refractory hypertension. This surgical treatment option of blood pressure led to satisfactory control of hitherto refractory hypertension complicated with multiple life-threatening episodes of hypertensive crises.

摘要

顽固性高血压对于接受定期血液透析的终末期肾病（ESRD）患者而言是一项挑战，尽管使用了新型抗高血压药物并制定了量身定制的透析方案。双侧肾切除术似乎是一个被遗忘的选择。我们呈现了一名16岁男孩的病例史，他接受了开放性双侧肾切除术作为顽固性高血压的挽救治疗。这种针对血压的手术治疗方案使此前难以控制的顽固性高血压得到了满意控制，该高血压还伴有多次危及生命的高血压危象发作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ecd/9482968/212d81fdaac3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ecd/9482968/88260c7f12d5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ecd/9482968/212d81fdaac3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ecd/9482968/88260c7f12d5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ecd/9482968/212d81fdaac3/gr2.jpg

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本文引用的文献

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The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.SCARE 2020 指南：更新共识手术病例报告（SCARE）指南。
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
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Therapy refractory hypertension in haemodialysis patients has become a rare indication for bilateral nephrectomy.血液透析患者的治疗顽固性高血压已成为双侧肾切除术的罕见适应症。
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Bilateral nephrectomy for uncontrolled hypertension in hemodialysis patient: a forgotten option?
血液透析患者因高血压控制不佳行双侧肾切除术：一个被遗忘的选择？
Nephrol Ther. 2014 Dec;10(7):528-31. doi: 10.1016/j.nephro.2014.07.484. Epub 2014 Oct 31.
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Bilateral nephrectomy as a rescue therapy for hemodialyzed patient with malignant hypertension - case report.双侧肾切除术作为血液透析的恶性高血压患者的一种挽救治疗——病例报告
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Revisiting the role of nephrectomy for advanced renovascular disease.重新审视肾切除术在晚期肾血管疾病中的作用。
Am J Med. 2003 Jun 15;114(9):729-35. doi: 10.1016/s0002-9343(03)00161-x.
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9
Malignant vascular disease of the kidney: nature of the lesions, mediators of disease progression, and the case for bilateral nephrectomy.肾脏恶性血管疾病：病变性质、疾病进展的介质以及双侧肾切除术的依据
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