Mackay A
Scott Med J. 1981 Jan;26(1):27-31. doi: 10.1177/003693308102600108.
A 48-year-old woman with generalised atheromatous disease had a right nephrectomy for a renal artery occlusion in 1977. Fourteen months later she presented with severe hypertension and anuria, caused by occlusion of the left renal artery. Emergency reconstructive surgery was successful in bringing about recovery of renal function and lowering of her blood pressure. Because renal function had deteriorated slightly after the first operation and improved after the second, a comparison was made of the effects of unilateral nephrectomy and reconstructive surgery on renal function in a further 26 patients with renal artery stenosis. In 15 patients having nephrectomy, renal function deteriorated in most, while in 11 having reconstruction it improved in nine and remained constant in two.
一名患有全身性动脉粥样硬化疾病的48岁女性在1977年因肾动脉闭塞接受了右肾切除术。14个月后，她因左肾动脉闭塞出现严重高血压和无尿。急诊重建手术成功恢复了肾功能并降低了她的血压。由于第一次手术后肾功能略有恶化，第二次手术后有所改善，因此对另外26例肾动脉狭窄患者进行了单侧肾切除术和重建手术对肾功能影响的比较。在15例行肾切除术的患者中，大多数患者的肾功能恶化，而在11例行重建手术的患者中，9例肾功能改善，2例保持不变。
