Christophe J L, De Plaen J F, Goffette P, Lambert M
Service de Néphrologie, Cliniques Universitaires Saint-Luc, Bruxelles, Belgique.
Nephrologie. 1993;14(3):133-7.
Renal infarction can be complicated by arterial hypertension, which is sometimes severe and may present as hypertensive encephalopathy and epilepsy. We report such a case in whom angiographic studies revealed a stenosis of the left renal artery and a post-stenotic aneurysmal dilation, containing a large thrombus with distal embolization. Thrombolysis associated with angioplasty resulted in the disappearance of the thrombus and correction of the stenosis. The pathophysiology of hypertension secondary to renal infarction is discussed. Therapeutic modalities are reviewed.
肾梗死可并发动脉高血压，有时血压严重升高，可表现为高血压脑病和癫痫。我们报告了这样一例患者，血管造影研究显示左肾动脉狭窄及狭窄后动脉瘤样扩张，瘤内有一大血栓并伴有远端栓塞。溶栓联合血管成形术使血栓消失且狭窄得以纠正。本文讨论了肾梗死继发高血压的病理生理学，并对治疗方式进行了综述。
