Arabidze G G, Kozdoba O A, Matveeva L S, Kutsenko A I, Boiadzhian P P
Biull Vsesoiuznogo Kardiol Nauchn Tsentra AMN SSSR. 1982;5(1):38-43.
In high arterial hypertension conditioned by main renal arteries stenosis of different genesis, 21.1% of patients were found to have a combination of renovascular hypertension with parenchymatous renal diseases, most often chronic pyelonephritis. The incidence of development of the malignant hypertension syndrome in combined lesions was noted to be 1.5 times higher than in isolated renovascular hypertension and makes 38.8% of patients. The described features of the clinical course, laboratory, radiological and radionuclide data as well as morphologic state of kidneys make it possible to distinguish this form of symptomatic hypertension as a special one, that is renovascular-parenchymatous hypertension.
在由不同病因的主要肾动脉狭窄所导致的重度动脉高血压患者中,发现21.1%的患者存在肾血管性高血压合并实质性肾病,最常见的是慢性肾盂肾炎。在合并病变中,恶性高血压综合征的发生率比单纯肾血管性高血压高1.5倍,占患者的38.8%。所描述的临床病程特征、实验室、放射学和放射性核素数据以及肾脏的形态学状态,使得能够将这种症状性高血压形式区分为一种特殊类型,即肾血管 - 实质性高血压。