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[主动脉肾血管造影及其他方法在肾性高血压诊断中的应用]

[Aortorenal angiography and other approaches in the diagnosis of arterial hypertension of renal origin].

作者信息

Savić S B

机构信息

Clinical Institute for Cardiovascular Diseases, Zvezdara Clinical Hospital Centre, Beograd.

出版信息

Srp Arh Celok Lek. 1996;124 Suppl 1:202-4.

PMID:9102907
Abstract

The significance of aortorenal and selective angiography of renal arteries with determination of peripheral blood plasma renin activity as well as of individual vein renalis and vein cava blood samples in diagnosing of renal hypertension. Presented is a methodology of an ethiological investigation of arterial hypertension focussed on the investigation of the function and all forms of renal diseases and anomalies. The investigation results showed that among hypertensive patients there was a group of patients with one normal renal artery for each kidney belonging to essential hypertension. In another group of patients, 543 had unilateral and 23 bilateral stenosis of renal artery for whom the index of individual in renalis samples of renin plasma activity indicated the presence of renovascular hypertension. The third group consisted of two patients with malignant kidney tumors and of three female patients with renal hypoplasia for whom a high renin plasma activity and nephrectomy confirmed normalized arterial hypertension of renal origin.

摘要

主动脉肾动脉造影和选择性肾动脉造影,同时测定外周血浆肾素活性以及单个肾静脉和腔静脉血样在诊断肾性高血压中的意义。本文介绍了一种针对动脉高血压的病因学研究方法,重点是对肾脏疾病和异常的功能及所有形式进行研究。研究结果表明,在高血压患者中,有一组患者每个肾脏有一条正常肾动脉,属于原发性高血压。在另一组患者中,543例有单侧肾动脉狭窄,23例有双侧肾动脉狭窄,肾素血浆活性的单个肾静脉样本指标表明存在肾血管性高血压。第三组包括两名患有恶性肾肿瘤的患者和三名肾发育不全的女性患者,她们的肾素血浆活性较高,肾切除术后证实肾源性动脉高血压恢复正常。

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