Fuse S, Hori T, Yoshida M, Igarashi C, Fujita S
Department of Pediatrics, Kushiro City General Hospital, Japan.
Acta Paediatr Jpn. 1996 Aug;38(4):370-3. doi: 10.1111/j.1442-200x.1996.tb03509.x.
A 13 year old boy suffering hypertension was examined for peripheral plasma renin, angiotensin-I, angiotensin-II and aldosterone. All data were within the normal range. The Captopril test and renal scintigraphy (both with and without Captopril) also showed normal patterns. Echo-Doppler velocimetry of the renal artery revealed that left renal arterial peak flow velocity was fast (3.4 m/s). The patient was therefore diagnosed with left renal arterial stenosis. Angiography demonstrated the duplex of the left renal artery and stenosis of the left lower renal artery. Percutaneous transluminal angioplasty was successfully performed.
一名患有高血压的13岁男孩接受了外周血浆肾素、血管紧张素I、血管紧张素II和醛固酮的检查。所有数据均在正常范围内。卡托普利试验和肾闪烁显像（使用和不使用卡托普利）也显示正常模式。肾动脉的超声多普勒测速显示左肾动脉峰值流速较快（3.4米/秒）。因此，该患者被诊断为左肾动脉狭窄。血管造影显示左肾动脉双支以及左肾下动脉狭窄。成功进行了经皮腔内血管成形术。
