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[内分泌-肾上腺源性动脉高血压的诊断及外科治疗结果]

[Diagnosis and results of surgical treatment of arterial hypertension of endocrine-adrenal origin].

作者信息

Gerasimenko P P

出版信息

Kardiologiia. 1976 May;16(5):32-8.

PMID:950752
Abstract

Surgery was undertaken in 149 patients with tumours or hyperplasia of the adrenal glands accompanied by high arterial hypertension, not infrequently of a malignant nature. An analysis is presented of some auxiliary methods of clinical diagnosis of pheochromocytomas (69 cases) and aldosteromas (56 cases). Data on the methods of topical diagnosis are presented, among which the authors believe tomography of the adrenals conducted against the background of pneumoretroperitoneum, and selective phlebography of the adrenals to be the best techniques. The immediate results of surgery for this grave form of hypertension are reported. The late results of the hypotensive effect of surgery are analysed in all 149 operated cases, the follow-up period ranging from 2 to 15 years.

摘要

对149例患有肾上腺肿瘤或增生并伴有重度动脉高血压(其中不少为恶性)的患者实施了手术。本文分析了嗜铬细胞瘤(69例)和醛固酮瘤(56例)临床诊断的一些辅助方法。介绍了局部诊断方法的数据,作者认为,在气腹造影背景下进行的肾上腺断层扫描和肾上腺选择性静脉造影是最佳技术。报告了针对这种严重高血压形式手术的近期结果。分析了所有149例手术病例术后降压效果的远期结果,随访期为2至15年。

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