Stanley J C
Urol Clin North Am. 1984 Aug;11(3):451-63.
Renal vascular disease is the second most common cause of secondary pediatric hypertension, usually occurring as intimal or atypical medial-perimedial stenoses. Developmental lesions account for 40 per cent of these stenoses. Assessments of renin activity and arteriography are useful in identifying functionally important lesions. Urography in this age group has little diagnostic utility. Renal revascularization offers a 95 per cent beneficial outcome to properly selected patients.
肾血管疾病是继发性小儿高血压的第二大常见病因，通常表现为内膜或非典型中膜-中膜周围狭窄。发育性病变占这些狭窄的40%。肾素活性评估和动脉造影对识别功能上重要的病变很有用。这个年龄组的尿路造影诊断价值不大。对于选择恰当的患者，肾血管重建术可带来95%的有益结果。
