Schmitt E, Pietruschka U, Schulz J
Z Urol Nephrol. 1981 Nov;74(11):807-12.
The behavior of blood pressure was investigated in 65 transplantation (Tx) patients in a nephrological outpatient service for an average of 18.6 months after Tx. Before Tx 2/3 of the patients exhibited hypertension, after Tx this was reduced to 1/2. No correlation was found between behaviour of blood pressure and such factors as renal function, incidence of rejection episodes, prednisolonee dose, diabetes mellitus and urinary function, incidence of rejection episodes, prednisolon dose, diabetes mellitus and urinary tract infection of the Tx. Only in patients with glomerulonephritis as original renal disease there was in increased incidence of hypertension before and after Tx. Causes of hypertension are discussed and demonstrated in the case of Tx arterial stenosis.
在一家肾脏病门诊服务机构中,对65例肾移植患者移植后平均18.6个月的血压情况进行了调查。移植前,三分之二的患者患有高血压,移植后这一比例降至二分之一。未发现血压变化与肾功能、排斥反应发生率、泼尼松龙剂量、糖尿病及泌尿系统感染等因素之间存在相关性。仅在原发性肾病为肾小球肾炎的患者中,移植前后高血压发生率均有所增加。文中讨论了高血压的病因,并以移植肾动脉狭窄为例进行了说明。