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[预测肾血管性高血压手术治疗降压效果的可能性]

[Possibilities of predicting the hypotensive effect of surgical treatment of vasorenal hypertension].

作者信息

Krylov V P, Astapenko M M

出版信息

Kardiologiia. 1987 Aug;27(8):18-20.

PMID:3682572
Abstract

The results of long-term (1 to 6 years) follow-up of 43 patients operated on for vasorenal hypertension were compared to preoperative data. The predictive value of the duration of arterial hypertension, patient's age, plasma renin activity coefficient and quantitative intrarenal flow data obtained at angiography with a simultaneous droperidol test, was determined. Intrarenal flow of the contralateral kidney was shown to be the most valuable predictive parameter for the prognosis of the hypotensive effect of the operation. Predictive use of other parameters, such as the duration of arterial hypertension, patient's age, plasma renin activity coefficient yielded higher rates of false-positive and false-negative results.

摘要

对43例因肾血管性高血压接受手术治疗的患者进行了为期1至6年的长期随访,并将结果与术前数据进行了比较。确定了动脉高血压持续时间、患者年龄、血浆肾素活性系数以及在血管造影同时进行氟哌利多试验时获得的肾内血流量定量数据的预测价值。结果表明,对侧肾脏的肾内血流量是手术降压效果预后最有价值的预测参数。使用其他参数进行预测,如动脉高血压持续时间、患者年龄、血浆肾素活性系数,会产生较高的假阳性和假阴性结果率。

相似文献

1
[Possibilities of predicting the hypotensive effect of surgical treatment of vasorenal hypertension].[预测肾血管性高血压手术治疗降压效果的可能性]
Kardiologiia. 1987 Aug;27(8):18-20.
2
[Prognosis of the hypotensive effect of nephrectomy in vasorenal hypertension].[肾血管性高血压患者肾切除术后降压效果的预后]
Khirurgiia (Mosk). 1986 May(5):69-72.
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Kardiologiia. 1989 Apr;29(4):76-80.
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Grud Serdechnososudistaia Khir. 1993 Jul-Aug(4):20-3.
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