Craswell P W, Hird V M, Baillod R A, Varghese Z, Moorhead J F
Br Med J. 1973 Jun 30;2(5869):741-3. doi: 10.1136/bmj.2.5869.741.
Blood pressure and plasma renin activity were remeasured after an interval of 8 to 17 months in 16 patients on maintenance haemodialysis previously found to have high renin activity. Continuing intermittent haemodialysis changed the plasma renin activity and blood pressure but no consistent pattern was seen. This confirmed our previous finding that adequate dialysis can control blood pressure in the presence of high renin activity. We therefore conclude that bilateral nephrectomy should be approached with renewed caution.
对先前发现肾素活性高的16例维持性血液透析患者,在间隔8至17个月后重新测量血压和血浆肾素活性。持续间歇性血液透析改变了血浆肾素活性和血压,但未发现一致的模式。这证实了我们之前的发现,即在肾素活性高的情况下,充分透析可控制血压。因此,我们得出结论,应重新谨慎考虑双侧肾切除术。