Vujić D, Djukanović Lj, Petrović M, Radmilović A
Prof. dr. Vasilije Jovanovitsh Institute for Kidney Diseases and Metabolic Disorders, Zvezdara University Clinical Centre, Belgrade.
Srp Arh Celok Lek. 1993 Aug-Dec;121(8-12):130-2.
Arterial hypertension is a state of blood pressure permanently higher than 160/90 mm Hg (21.3/12.6 kPa). The renal cause of hypertension occurs in about 10% of all cases. The aim of this article was to establish the frequency, the level, and the connection of the hypertension in different types of primary glomerulonephritis. In this study 90 patients with primary glomerulonephritis were observed. Hypertension was present in 45 patients (50%) and different frequency were noticed in different types of glomerulonephritis. The smallest frequency was recorded in the group with minimal changes and IgA nephritis. In the group with mesangioproliferative glomerulonephritis 52% of patients had hypertension and in the group with focal segmental sclerosis 78%. The most frequent hypertension was observed in the group with rapidly progressive glomerulonephritis. Renal failure was more frequent in patients with hypertension. Different frequencies of hypertension was established in different types of glomerulonephritis. It was not severe and was well controlled by remedies. In most cases it suggest a severe glomerular lesions and fast progression of the disease.
动脉高血压是指血压持续高于160/90毫米汞柱(21.3/12.6千帕)的一种状态。高血压的肾脏病因约占所有病例的10%。本文的目的是确定不同类型原发性肾小球肾炎中高血压的发生率、水平及关联。本研究观察了90例原发性肾小球肾炎患者。45例患者(50%)存在高血压,且在不同类型的肾小球肾炎中观察到不同的发生率。微小病变和IgA肾病组的发生率最低。系膜增生性肾小球肾炎组52%的患者有高血压,局灶节段性硬化组为78%。快速进行性肾小球肾炎组高血压最为常见。高血压患者发生肾衰竭更为频繁。不同类型的肾小球肾炎中高血压的发生率不同。其并不严重,通过治疗可得到良好控制。在大多数情况下,这提示存在严重的肾小球病变及疾病的快速进展。