Moriarty K P, Lipkowitz G S, Germain M J
Division of Transplant, Tufts University School of Medicine, Baystate Medical Center, Springfield, MA, USA.
J Pediatr Surg. 1997 Jun;32(6):831-3. doi: 10.1016/s0022-3468(97)90630-8.
Hypertension is a known complication after renal trauma. The cause of posttraumatic hypertension can be renal scarring, infarction, hydonephrosis, infection, vascular injury, and parenchymal compression. The authors report on the case of a 16-year-old boy who experienced hypertension after blunt renal trauma. He had a dense fibrous pseudocapsule causing renal parenchymal compression, which lead to hypertension, a Page kidney. Evaluation with computed tomographic (CT) scan, radioisotope renal scan, renal Doppler, and angiogram confirmed the diagnosis. Removal of the renal capsule and the constricting fibrous pseudocapsule was curative.
高血压是肾外伤后已知的并发症。创伤后高血压的病因可能是肾瘢痕形成、梗死、肾盂积水、感染、血管损伤和实质受压。作者报告了一名16岁男孩在钝性肾外伤后出现高血压的病例。他有一个致密的纤维性假包膜导致肾实质受压，进而导致高血压，即佩奇肾。通过计算机断层扫描（CT）、放射性核素肾扫描、肾多普勒检查和血管造影进行评估，证实了诊断。切除肾包膜和收缩性纤维性假包膜可治愈。
