Studer U E, Weidmann P
Eur Urol. 1984;10(3):164-9. doi: 10.1159/000463780.
39 patients underwent partial or total unilateral nephrectomy for treatment of renal tuberculosis. Before surgery, blood pressure was increased in 12 cases (30%). 5 patients had only mild hypertension which was not modified following surgery. 7 patients had moderate to severe hypertension, and in 5 of them blood pressure was normalized following nephrectomy, indicating a renal pressure mechanism. Special investigations in some of these patients revealed no evidence of a pathogenic role of the adrenergic system, but support the participation of the renin-angiotensin system in at least some patients with hypertension associated with renal tuberculosis.
39例患者因肾结核接受了部分或全单侧肾切除术。术前，12例（30%）患者血压升高。5例患者仅有轻度高血压，术后未改善。7例患者有中度至重度高血压，其中5例肾切除术后血压恢复正常，提示存在肾性高血压机制。对其中一些患者的专项检查未发现肾上腺素能系统有致病作用的证据，但支持肾素-血管紧张素系统至少在部分肾结核相关高血压患者中起作用。
