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维持性血液透析治疗患者血浆肾素活性升高的意义。

Significance of high plasma renin activity in patients on maintenance haemodialysis therapy.

作者信息

Craswell P W, Hird V M, Baillod R A, Varghese Z, Moorhead J F

出版信息

Br Med J. 1973 Jun 30;2(5869):741-3. doi: 10.1136/bmj.2.5869.741.

DOI:10.1136/bmj.2.5869.741
PMID:4352315
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1589825/
Abstract

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.

摘要

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。

相似文献

1
Significance of high plasma renin activity in patients on maintenance haemodialysis therapy.维持性血液透析治疗患者血浆肾素活性升高的意义。
Br Med J. 1973 Jun 30;2(5869):741-3. doi: 10.1136/bmj.2.5869.741.
2
Plasma renin activity and blood pressure in 89 patients receiving maintenance haemodialysis therapy.89例接受维持性血液透析治疗患者的血浆肾素活性和血压
Br Med J. 1972 Dec 30;4(5843):749-53. doi: 10.1136/bmj.4.5843.749.
3
Renin and control of arterial blood pressure during terminal renal failure treated by haemodialysis and by transplantation.血液透析和移植治疗终末期肾衰竭期间的肾素与动脉血压控制
Clin Sci. 1972 Jun;42(6):685-700. doi: 10.1042/cs0420685.
4
Interrelationships between blood pressure, renin, renin substrate and blood volume in terminal renal failure.终末期肾衰竭患者血压、肾素、肾素底物与血容量之间的相互关系
Clin Sci Mol Med. 1973 Oct;45(4):417-28. doi: 10.1042/cs0450417.
5
Plasma renin activity in patients with chronic nephritis.
Pol Med J. 1972;11(5):1080-9.
6
Hypertension in end-stage renal disease. The relationship between blood pressure, plasma renin, plasma renin substrate and exchangeable sodium in chronic hemodialysis patients.终末期肾病中的高血压。慢性血液透析患者的血压、血浆肾素、血浆肾素底物与可交换钠之间的关系。
Acta Med Scand. 1976;200(4):257-61.
7
[Plasma renin activity in peripheral venous blood under various stimulation conditions].[不同刺激条件下外周静脉血中的血浆肾素活性]
Dtsch Med Wochenschr. 1969 May 16;94(20):1049-57. doi: 10.1055/s-0028-1111163.
8
[Renin activity and electrolyte content of plasma and erythrocytes in different forms of arterial hypertension].
Kardiologiia. 1972 Apr 4;12(4):35-42.
9
Regulation of aldosterone in anephric man maintained with regular haemodialysis.维持规律血液透析的无肾患者中醛固酮的调节
Proc Eur Dial Transplant Assoc. 1972;9:74-83.
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Plasma aldosterone during haemodialysis in patients with terminal renal failure.终末期肾衰竭患者血液透析期间的血浆醛固酮水平
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引用本文的文献

1
Letter: Muscle cramps during maintenance hemodialysis.信函:维持性血液透析期间的肌肉痉挛
Br Med J. 1973 Oct 13;4(5884):107-8. doi: 10.1136/bmj.4.5884.107-b.

本文引用的文献

1
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N Engl J Med. 1969 May 1;280(18):978-81. doi: 10.1056/NEJM196905012801802.
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Plasma renin activity and blood pressure in terminal renal failure.
N Engl J Med. 1971 Sep 30;285(14):757-62. doi: 10.1056/NEJM197109302851401.
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[Estimation of the plasma renin activity in terminal renal failure and its use for the factor determining indication of the bilateral nephrectomy].[终末期肾衰竭患者血浆肾素活性的测定及其在双侧肾切除术指征决定因素中的应用]
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Reflections on the mechanism and significance of arterial hypertension following cerebral arterial occlusion.关于脑动脉闭塞后动脉高血压的机制及意义的思考
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Plasma renin activity (PRA) in 89 patients on regular haemodialysis.89例接受定期血液透析患者的血浆肾素活性(PRA)
Proc Eur Dial Transplant Assoc. 1972;9:154-63.
6
Plasma renin activity and blood pressure in 89 patients receiving maintenance haemodialysis therapy.89例接受维持性血液透析治疗患者的血浆肾素活性和血压
Br Med J. 1972 Dec 30;4(5843):749-53. doi: 10.1136/bmj.4.5843.749.
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Hypertension and chronic renal failure.高血压与慢性肾衰竭。
Br Med Bull. 1971 May;27(2):128-35. doi: 10.1093/oxfordjournals.bmb.a070835.
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Unique biosynthesis by kidney of a biological active vitamin D metabolite.肾脏对生物活性维生素D代谢物的独特生物合成。
Nature. 1970 Nov 21;228(5273):764-6. doi: 10.1038/228764a0.
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Application of a radioimmunoassay for angiotensin I to the physiologic measurements of plasma renin activity in normal human subjects.一种用于血管紧张素I的放射免疫测定法在正常人体血浆肾素活性生理测量中的应用。
J Clin Endocrinol Metab. 1969 Oct;29(10):1349-55. doi: 10.1210/jcem-29-10-1349.
10
Effect of bilateral nephrectomy on transfusion requirements of patients undergoing chronic dialysis.双侧肾切除术对接受慢性透析患者输血需求的影响。
Lancet. 1969 Oct 4;2(7623):705-7. doi: 10.1016/s0140-6736(69)90424-3.