Pambor R, Giessmann H G, Kielstein R, Lachhein L
Z Gesamte Inn Med. 1979 Apr 1;34(7):205-8.
On 75 patients with chronic renal insufficiency the relations between renal hypertension due to volume expansion and findings of the fundus of the eye were investigated. In compensated renal insufficiency in 20 of 23 patients a hypertension appeared, hypertensively conditioned changes of the fundus were observed only in about one third of the cases. When the functional disturbances progressed into the stage of the chronic terminal renale insufficiency on the other hand in 27 of 38 patients retina findings conditioned by hypertension were stated. Among 38 haemodialysis patients by regulation of the fluid balance 11 times a normal fundus and 15 times an improvement of the findings of the fundus of the eye could be revealed. In 13 patients the findings of the fundus generally improved after successful renal transplantation. Also our examinations call the usual stage subdivisions after Thiel and Keith and co-workers, respectively, in question.
对75例慢性肾功能不全患者,研究了容量扩张所致肾性高血压与眼底检查结果之间的关系。在23例代偿性肾功能不全患者中,20例出现高血压,仅约三分之一的病例观察到高血压所致的眼底改变。另一方面,当功能障碍进展到慢性终末期肾功能不全阶段时,38例患者中有27例出现了高血压所致的视网膜病变。在38例血液透析患者中,通过调节液体平衡,11次眼底正常,15次眼底检查结果有所改善。13例患者在成功肾移植后眼底检查结果总体改善。我们的检查也对分别由蒂尔和基思及其同事提出的常见分期提出了质疑。