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肾脏与动脉高血压

The kidney and arterial hypertension.

作者信息

Ruilope L M, Campo C, Lahera V

机构信息

Unidad de Hipertensión, Hospital 12 de Octubre, Madrid, Spain.

出版信息

Drugs. 1993;46 Suppl 2:108-12. doi: 10.2165/00003495-199300462-00019.

DOI:10.2165/00003495-199300462-00019
PMID:7512463
Abstract

It has been known for some time that a relationship exists between the kidney and blood pressure. The renal origin of arterial hypertension has been demonstrated in different animal models resembling human hypertension, with data from humans seeming to confirm this hypothesis. On the other hand, the renal vasculature also suffers the consequences of arterial hypertension, and renal insufficiency can develop as a result of elevated blood pressure levels. Antihypertensive therapy can prevent the development of renal damage secondary to hypertension. For example, calcium antagonists possess specific renal effects that not only facilitate their antihypertensive capacity but also protect the kidney from the development of renal failure.

摘要

一段时间以来,人们已经知道肾脏与血压之间存在关联。在不同的类似于人类高血压的动物模型中,已经证实了动脉高血压的肾脏起源,来自人类的数据似乎也证实了这一假设。另一方面,肾血管系统也会受到动脉高血压的影响,血压升高可能会导致肾功能不全。抗高血压治疗可以预防高血压继发的肾损伤。例如,钙拮抗剂具有特定的肾脏效应,不仅有助于其抗高血压能力,还能保护肾脏免受肾衰竭的发展。

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1
The kidney and arterial hypertension.肾脏与动脉高血压
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2
[Are all antihypertensive drugs renoprotective?].[所有抗高血压药物都具有肾脏保护作用吗?]
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本文引用的文献

1
The relation of vascular disease to the hypertensive state; the adequacy of the renal biopsy as determined from a study of 500 patients.血管疾病与高血压状态的关系;通过对500例患者的研究确定肾活检的充分性。
N Engl J Med. 1948 Nov 11;239(20):729-32. doi: 10.1056/NEJM194811112392001.
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[Proteinuria as cardiovascular and renal risk factor].[蛋白尿作为心血管和肾脏危险因素]
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Ann Intern Med. 1980 Dec;93(6):817-21. doi: 10.7326/0003-4819-93-6-817.
6
Dahl's hypothesis that a saluretic substance may be responsible for a sustained rise in arterial pressure: its possible role in essential hypertension.达尔的假说,即一种利钠物质可能是动脉压持续升高的原因:其在原发性高血压中的可能作用。
Kidney Int. 1980 Jul;18(1):1-9. doi: 10.1038/ki.1980.104.
7
Renal function during long-term treatment of hypertension with minoxidil: comparison of benign and malignant hypertension.米诺地尔长期治疗高血压期间的肾功能:良性高血压与恶性高血压的比较
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Defect in the sodium-modulated tissue responsiveness to angiotensin II in essential hypertension.原发性高血压中钠调节的组织对血管紧张素II反应性的缺陷。
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Remission of essential hypertension after renal transplantation.肾移植后原发性高血压的缓解
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Development of hypertension in renal disease.肾脏疾病中高血压的发生
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