Bartges J W, Willis A M, Polzin D J
Department of Small Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, USA.
Vet Clin North Am Small Anim Pract. 1996 Nov;26(6):1331-45. doi: 10.1016/s0195-5616(96)50131-2.
Systemic hypertension is commonly associated with chronic renal failure in dogs and cats. Consequences of systemic hypertension are manifested by pathologic changes involving the eyes, heart, central nervous system, and/or kidneys. These changes may be prevented or reversed by diagnosing and treating systemic hypertension. Therefore, blood pressure determination and ophthalmic examination should be performed routinely in animals with chronic renal failure. Therapy for systemic hypertension associated with chronic renal failure should be initiated cautiously with the goal being to lower arterial pressure below values considered to be hypertensive. Therapy may involve nonpharmacologic strategies and/or hypertensive drugs. This article discusses pathophysiologic mechanisms, consequences, diagnosis, and treatment of systemic hypertension associated with chronic renal failure in dogs and cats.
全身性高血压在犬猫中通常与慢性肾衰竭相关。全身性高血压的后果表现为涉及眼睛、心脏、中枢神经系统和/或肾脏的病理变化。通过诊断和治疗全身性高血压，这些变化可能会得到预防或逆转。因此，对于患有慢性肾衰竭的动物，应常规进行血压测定和眼科检查。与慢性肾衰竭相关的全身性高血压的治疗应谨慎启动，目标是将动脉血压降至被认为是高血压的数值以下。治疗可能涉及非药物策略和/或降压药物。本文讨论了犬猫慢性肾衰竭相关全身性高血压的病理生理机制、后果、诊断和治疗。
