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[使用血管活性药物的肾血管造影及其在肾血管性高血压诊断中的价值]

[Renal angiography with the use of vasoactive drugs and its value in the diagnosis of vasorenal hypertension].

作者信息

Pokrovskiĭ A V, Petrosian Iu S, Zingerman L S, Khamzabaev Zh Kh

出版信息

Kardiologiia. 1977 Mar;17(3):42-7.

PMID:886699
Abstract

The results of 76 selective renal angiographies in 33 patients with the use of adrenalin and acetylcholine are presented (17 cases of renovascular hypertension, 7-chronic pyelonephritis, 5-essential hypertension, 2-nephroptosis, 1-kidney tumor). The pecularities of the method essential for the success of the examination and prevention of complications are described. The importance of pharmacoangiography with adrenalin for the determination of the length of renal vessels lesion in cases of fibrous dysplasia was demonstrated, as well as that of the acetylcholine test for examining the state of the vascular bed of the contralateral kidney, the same procedures being applied in cases of chronic pyelonephritis. Typical pharmacoangiographic symptoms of different forms of nephrogenic hypertension are described.

摘要

本文呈现了33例患者使用肾上腺素和乙酰胆碱进行76次选择性肾血管造影的结果(17例肾血管性高血压、7例慢性肾盂肾炎、5例原发性高血压、2例肾下垂、1例肾肿瘤)。描述了检查成功及预防并发症所必需的方法特点。证实了肾上腺素药物血管造影在纤维发育异常病例中确定肾血管病变长度的重要性,以及乙酰胆碱试验在检查对侧肾脏血管床状态方面的重要性,这些程序也应用于慢性肾盂肾炎病例。描述了不同形式肾源性高血压的典型药物血管造影症状。

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