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动脉高血压得到控制后停止长期血液透析;长期随访

Discontinuation of chronic haemodialysis after control of arterial hypertension; long term follow-up.

作者信息

Wauters J P, Brunner H R

出版信息

Proc Eur Dial Transplant Assoc. 1983;19:182-7.

PMID:6878232
Abstract

Five patients with varying chronic renal diseases had to be started on haemodialysis with malignant hypertension. After several months, dialysis treatment could be interrupted when long term blood pressure control had been attained. In three of them no long term complications were observed and renal function has continued to improve. In the two other patients, uncontrolled hypertension or acute infection made a return to haemodialysis imperative. In the case of malignant hypertension, the arteriolar necrosis has been shown to be reversible.

摘要

5例患有不同慢性肾病的患者因恶性高血压而不得不开始血液透析。几个月后,当长期血压得到控制时,透析治疗可以中断。其中3例未观察到长期并发症,肾功能持续改善。另外2例患者,由于高血压控制不佳或急性感染,必须重新进行血液透析。在恶性高血压的情况下,小动脉坏死已被证明是可逆的。

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