Elias A N, Anderson G H, Dalakos T G, Streeten D H
J Urol. 1978 Apr;119(4):561-2. doi: 10.1016/s0022-5347(17)57548-5.
Transient hypertension occurred in 3 patients shortly after blunt injury to the abdomen. Renal trauma was suspected in all 3 patients and radiological evidence for renal injury was present in 2. Plasma renin activity definitely was elevated in 1 patient and probably was elevated in another. There was a decrease in blood pressure in all 3 patients during infusion of the angiotensin II analogue--saralasin--showing that the hypertension in these patients was angiotensin-mediated. Renal function as reflected by the blood urea nitrogen, creatinine and electrolytes was not impaired significantly. Thus, acute hypertension after blunt abdominal trauma may be angiotensinogenic and is not necessarily sustained.
3例腹部钝性伤患者在伤后不久出现短暂性高血压。所有3例患者均怀疑有肾外伤，其中2例有肾损伤的影像学证据。1例患者血浆肾素活性明显升高，另1例可能升高。在输注血管紧张素II类似物——沙拉新期间，所有3例患者血压均下降，表明这些患者的高血压是由血管紧张素介导的。血尿素氮、肌酐和电解质所反映的肾功能未受到明显损害。因此，腹部钝性伤后的急性高血压可能是由血管紧张素引起的，且不一定会持续。
