Sterns R H, Rabinowitz R, Segal A J, Spitzer R M
Arch Intern Med. 1985 Jan;145(1):169-71. doi: 10.1001/archinte.145.1.169.
Conditions analogous to an experimental model of hypertension described by Page in 1939 are called "Page kidney." In chronic subcapsular hematoma, the most common clinical counterpart to Page's model of renal parenchymal compression, a review of the literature reveals that hypertension is usually cured by nephrectomy, but is seldom cured by mere evacuation of the hematoma. To our knowledge, no patient remaining hypertensive after evacuation has undergone nephrectomy. In the patient described herein, a liquified subcapsular hematoma reaccumulated after it was drained percutaneously, and therefore it had to be evacuated surgically. Persistent renin-mediated hypertension, however, prompted curative nephrectomy. The response to more prolonged percutaneous drainage might have guided more effective initial surgery.
与1939年佩奇所描述的高血压实验模型类似的病症被称为“佩奇肾”。在慢性肾包膜下血肿（佩奇肾实质压迫模型最常见的临床对应情况）中，文献回顾显示高血压通常通过肾切除术治愈，但单纯清除血肿很少能治愈。据我们所知，血肿清除后仍有高血压的患者没有接受过肾切除术。在此描述的患者中，经皮引流后液化的肾包膜下血肿再次积聚，因此必须进行手术清除。然而，持续性肾素介导的高血压促使进行了根治性肾切除术。对更长时间经皮引流的反应可能会为更有效的初始手术提供指导。
