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[肾血管性高血压手术前后肾血流动力学的分离与总结]

[Separate and summary renal hemodynamics in renovascular hypertension (before and after surgery)].

作者信息

Kutsenko A I, Boiadzhan P P, Shpil' kin V M, Shapkina L S, Gabedava B Sh

出版信息

Kardiologiia. 1980 Sep;20(9):46-50.

PMID:7420846
Abstract

It was found that hypertension in patients with stenosis of the renal artery is of a renopressor character which is maintained by increased renin secretion by the kidney with the stenosed artery. High arterial hypertension is conducive to the maintenance of the function of the kidney with the stenosed artery at the most optimum level and has an effect on the contralateral kidney. After surgery (nephrectomy), in addition to normalization of arterial pressure the blood flow in the remaining kidney becomes almost equal to the blood flow in two kidneys, i.e. the remaining kidney compensates for the function of the removed kidney. The incidence of malignant course of arterial hypertension in combination of an occlusive lesion of the renal artery and pyelonephritis of this kidney is twice that in isolated stenotic lesion of the renal artery.

摘要

研究发现,肾动脉狭窄患者的高血压具有肾性升压特征,由患狭窄动脉的肾脏肾素分泌增加所维持。重度动脉高血压有助于使患狭窄动脉的肾脏功能维持在最适宜水平,并对侧肾产生影响。手术后(肾切除术),除动脉血压恢复正常外,剩余肾脏的血流量几乎与双肾血流量相等,即剩余肾脏代偿了被切除肾脏的功能。肾动脉闭塞性病变合并该侧肾盂肾炎时,动脉高血压恶性病程的发生率是单纯肾动脉狭窄病变的两倍。

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