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婴儿期肾血管性高血压经主动脉-肾动脉旁路手术治疗(作者译)

[Renovascular hypertension in infancy treated by aortorenal by-pass (author's transl)].

作者信息

Bondonny J M, Guimberteau J C, Bechraoui T, Galperine I, Seguin G, Camier P, Diard F, Choussat A, Sarlanges J

出版信息

Chir Pediatr. 1979;20(6):427-31.

PMID:548184
Abstract

The writers record a severe case of renovascular hypertension resulting from fibromuscular dysplasia which appeared in the only main left renal artery. The first clinical symptoms were noticed at five months. The failure of medical treatment led to exploratory surgery at seven months with renal revascularisation by an aortorenal by-pass using a hypogastric arterial autograft. The writers stress the scarcity of hypertension symptoms among infants of less than one year and conclude the impossibility of prognosis in spite of an apparent cure after six months.

摘要

作者记录了一例由纤维肌性发育异常导致的肾血管性高血压重症病例,该异常出现在唯一的左肾主动脉。最初的临床症状在五个月时被发现。药物治疗无效导致在七个月时进行了探索性手术,采用下腹动脉自体移植的主动脉 - 肾动脉搭桥术进行肾血管重建。作者强调一岁以下婴儿中高血压症状罕见,并得出结论,尽管六个月后表面上已治愈,但仍无法进行预后判断。

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