Salvi S, Green D M, Brecher M L, Magoos I, Gamboa L N, Fisher J E, Baliah T, Afshani E
Urology. 1983 Jun;21(6):611-5. doi: 10.1016/0090-4295(83)90204-2.
Hypertension secondary to stenosis of the left renal artery developed in a thirteen-year-old male six years after completion of inverted Y irradiation (3,600 rad) for abdominal Hodgkin disease. Surgical treatment with nephrectomy resulted in control of the hypertension without the use of antihypertensive agents. We review the literature for this unusual complication of abdominal irradiation, and recommend that a 99mTc-DMSA renal scan, selective renal vein sampling for renin determinations, and renal arteriography be performed on any patient in whom hypertension develops following abdominal irradiation in childhood.
一名13岁男性在因腹部霍奇金病接受倒Y形照射（3600拉德）六年之后，出现了继发于左肾动脉狭窄的高血压。肾切除术的外科治疗使高血压得到控制，无需使用抗高血压药物。我们查阅了关于腹部照射这一罕见并发症的文献，并建议对任何在儿童期接受腹部照射后出现高血压的患者进行99mTc - DMSA肾扫描、选择性肾静脉采样以测定肾素以及肾动脉造影。
