Dróbecka-Brydak E, Swituła M, Brydak-Godowska J, Posepna A, Rancewicz Z, Nowacka-Cieciura E
Katedry i Kliniki Chorób Oczu AM w Warszawie.
Klin Oczna. 1998;100(1):31-3.
Comparison of eye fundus changes in patients in whom malignant hypertension was diagnosed.
14 patients (6 F, 8 M) aged 24-54 years were examined. In all cases kidney disease was the cause of arterial hypertension. 11 patients underwent kidney transplantation (0.5-20 years before the study), 2 patients was hemodialysed, 1 received only pharmacological treatment.
During the first examination in two patients IV grade of hypertensive retinopathy (K-W classification) was found, in the rest of the patients I/II or II grade with typical changes for malignant hypertension in the past (Elschnig's spots) was found. In control examinations (6 months-21 years) the persistence of the previously noticed changes was observed.
比较已确诊为恶性高血压患者的眼底变化。
对14例年龄在24至54岁之间的患者(6例女性,8例男性)进行了检查。所有病例中,肾脏疾病均为动脉高血压的病因。11例患者接受了肾脏移植(研究前0.5至20年),2例患者接受血液透析,1例仅接受药物治疗。
首次检查时,发现2例患者患有IV级高血压性视网膜病变(K-W分级),其余患者为I/II级或II级,既往有恶性高血压的典型变化(埃尔施尼格斑)。在对照检查(6个月至21年)中,观察到先前发现的变化持续存在。