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肾移植后的高血压

Hypertension after renal transplantation.

作者信息

Bachy C, Alexandre G P, van Ypersele de Strihou C

出版信息

Br Med J. 1976 Nov 27;2(6047):1287-9. doi: 10.1136/bmj.2.6047.1287.

DOI:10.1136/bmj.2.6047.1287
PMID:793675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1690006/
Abstract

The incidence of hypertension (mean diastolic pressure above 90 mm Hg) was evaluated in 85 patients with renal transplants whose follow-up ranged from 3 to 84 months. Bilateral nephrectomy had been performed in 80 recipients. The proportion of hypertensive subjects rose during the first three months, subsequently stabilised around 50-60% for up to five years, and then decreased slightly during the next two years. Over the years hypertension fluctuated so that one-third of the initially hypertensive patients became normotensive, and over one-third of the initially normotensive patients became hypertensive. The main single aetiological factor was renal failure. A significant relation between steroid dosage and blood pressure was found in only a quarter of the hypertensive patients, and in another quarter no cause could be found.

摘要

对85例肾移植患者进行了高血压(平均舒张压高于90mmHg)发病率的评估,其随访时间为3至84个月。80例接受者进行了双侧肾切除术。高血压患者的比例在最初三个月内上升,随后在长达五年的时间里稳定在50%-60%左右,然后在接下来的两年里略有下降。多年来,高血压情况波动不定,最初高血压患者中有三分之一血压恢复正常,最初血压正常的患者中有三分之一以上变成了高血压患者。主要的单一病因是肾衰竭。仅四分之一的高血压患者中发现类固醇剂量与血压之间存在显著关系,另有四分之一找不到病因。

相似文献

1
Hypertension after renal transplantation.肾移植后的高血压
Br Med J. 1976 Nov 27;2(6047):1287-9. doi: 10.1136/bmj.2.6047.1287.
2
Hypertension after renal transplantation.肾移植后的高血压
Proc Eur Dial Transplant Assoc. 1976;12:461-70.
3
Relationship of renal transplantation to hypertension in end-stage renal failure.终末期肾衰竭中肾移植与高血压的关系。
Arch Intern Med. 1978 Aug;138(8):1236-41. doi: 10.1001/archinte.138.8.1236.
4
Hypertension in renal transplant recipients: role of bilateral nephrectomy.肾移植受者的高血压:双侧肾切除术的作用
Br Med J. 1973 Jul 14;3(5871):78-81. doi: 10.1136/bmj.3.5871.78.
5
Prevalence of hypertension in a renal transplant population on alternate-day steroid therapy.接受隔日类固醇治疗的肾移植人群中高血压的患病率。
Clin Nephrol. 1976 Mar;5(3):123-7.
6
Association between urinary angiotensinogen excretion rates and left ventricular mass index and carotid intima-media thickness in hypertensive kidney transplant recipients.高血压肾移植受者尿血管紧张素原排泄率与左心室质量指数及颈动脉内膜中层厚度之间的关联
Clin Transplant. 2015 Apr;29(4):351-8. doi: 10.1111/ctr.12521. Epub 2015 Feb 18.
7
Prevalence and causes of hypertension late after renal transplantation.肾移植术后晚期高血压的患病率及病因
Proc Eur Dial Transplant Assoc. 1983;19:566-71.
8
Source of kidney determines blood pressure in young renal transplanted rats.肾脏来源决定年轻肾移植大鼠的血压。
Am J Physiol. 1993 Jul;265(1 Pt 2):F104-11. doi: 10.1152/ajprenal.1993.265.1.F104.
9
Blood pressure control in hypertensive pediatric renal transplants: role of repeated ABPM following transplantation.高血压小儿肾移植受者的血压控制:移植后重复进行动态血压监测的作用
Am J Hypertens. 2008 Oct;21(10):1093-9. doi: 10.1038/ajh.2008.251. Epub 2008 Aug 14.
10
Hypertension following renal transplantation: the role of the host's kidney.肾移植后的高血压:宿主肾脏的作用。
Q J Med. 1980 Autumn;49(196):395-403.

引用本文的文献

1
Global prevalence and contributing factors of transplant renal artery stenosis in renal transplant recipients: A systematic review and meta-analysis.肾移植受者移植肾动脉狭窄的全球患病率及相关因素:一项系统评价和荟萃分析。
Narra J. 2024 Dec;4(3):e1782. doi: 10.52225/narra.v4i3.1782. Epub 2024 Dec 17.
2
Approach and Management of Hypertension After Kidney Transplantation.肾移植术后高血压的处理与管理
Front Med (Lausanne). 2020 Jun 16;7:229. doi: 10.3389/fmed.2020.00229. eCollection 2020.
3
Hypertension in the Pediatric Intensive Care Unit.儿科重症监护病房中的高血压
J Pediatr Intensive Care. 2016 Jun;5(2):50-58. doi: 10.1055/s-0035-1564796. Epub 2015 Oct 26.
4
Digital vascular imaging and selective renin sampling in evaluation of vascular anatomy in renal transplant recipients.数字血管成像和选择性肾素采样在肾移植受者血管解剖评估中的应用
Br Med J (Clin Res Ed). 1983 Mar 26;286(6370):1003-6. doi: 10.1136/bmj.286.6370.1003.
5
Renal artery stenosis in transplant patients.移植患者的肾动脉狭窄
Ann Surg. 1984 Apr;199(4):454-60. doi: 10.1097/00000658-198404000-00013.
6
Cardiovascular pathology in renal transplant recipients.肾移植受者的心血管病理学
J Natl Med Assoc. 1986 Dec;78(12):1187-91.
7
Hypertension in renal allograft recipients may be conveyed by cadaveric kidneys from donors with subarachnoid haemorrhage.肾移植受者的高血压可能由患有蛛网膜下腔出血的供体的尸体肾脏传播。
Br Med J (Clin Res Ed). 1986 Apr 19;292(6527):1041-4. doi: 10.1136/bmj.292.6527.1041.
8
[Loss of renal functional reserve following kidney transplantation and in patients with advanced disorders of liver function].[肾移植后及晚期肝功能障碍患者肾功能储备的丧失]
Klin Wochenschr. 1988 Sep 15;66(18):946-52. doi: 10.1007/BF01728959.
9
The renal kallikrein-kinin system in human and in experimental hypertension.人类及实验性高血压中的肾激肽释放酶-激肽系统
Klin Wochenschr. 1978;56 Suppl 1:113-25. doi: 10.1007/BF01477462.

本文引用的文献

1
Angiographic investigation of hypertension complicating human renal transplantation.
Surg Gynecol Obstet. 1969 May;128(5):963-8.
2
Blood pressure changes produced by kidney cross-transplantation between spontaneously hypertensive rats and normotensive rats.自发性高血压大鼠与正常血压大鼠之间进行肾脏交叉移植所产生的血压变化。
Clin Sci Mol Med. 1974 Nov;47(5):435-48. doi: 10.1042/cs0470435.
3
Variations in arterial blood pressure after kidney transplantation. Relation to renal function, plasma renin activity, and the dose of prednisone.肾移植后动脉血压的变化。与肾功能、血浆肾素活性及泼尼松剂量的关系。
Circulation. 1973 Jun;47(6):1297-305. doi: 10.1161/01.cir.47.6.1297.
4
Hypertension in patients on regular haemodialysis and after renal allotransplantation.接受定期血液透析患者及肾移植术后患者的高血压
Lancet. 1969 May 3;1(7601):902-4. doi: 10.1016/s0140-6736(69)92542-2.
5
Epiphyseal osteonecrosis in transplanted patients: effect of surgical treatment.移植患者的骨骺骨坏死:手术治疗的效果
Proc Eur Dial Transplant Assoc. 1972;9:376-87.
6
Arterial stenosis complicating renal allotransplantation in man: a study of 38 cases.人类同种异体肾移植并发动脉狭窄:38例研究。
Ann Surg. 1975 Mar;181(3):283-8. doi: 10.1097/00000658-197503000-00007.
7
Permanent hypertension after renal homotransplantation in man.人类肾同种移植术后的永久性高血压。
Clin Sci Mol Med. 1975 May;48(5):391-403. doi: 10.1042/cs0480391.
8
Hypertension after renal transplantation in children.儿童肾移植后的高血压
J Pediatr. 1975 Mar;86(3):370-5. doi: 10.1016/s0022-3476(75)80965-6.