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PR-AⅡ、PGI_2-TXA_2在ESWL后高血压中的作用
引用本文:汤群辉,邵国兴,于茂生,秦荣良,过崇红.PR-AⅡ、PGI_2-TXA_2在ESWL后高血压中的作用[J].现代泌尿外科杂志,1997(4).
作者姓名:汤群辉  邵国兴  于茂生  秦荣良  过崇红
作者单位:第四军医大学西京医院泌尿外科,第四军医大学西京医院泌尿外科,第四军医大学西京医院泌尿外科,第四军医大学西京医院泌尿外科,第四军医大学西京医院泌尿外科 西安 710061,西安 710061,西安 710061,西安 710061,西安 710061
摘    要:通过对60例患者血液标本的检测,发现体外震波碎石术(ESWL)后出现高血压的患者其血浆肾素(PR)—血管肾张素Ⅱ(AⅡ)系统活性及血栓素A_2(TXA_2)浓度明显高于ESWL后血压正常者,而血浆前列腺素(PGI_2)浓度则正好相反。认为PGI_2合成减少和TXA_2合成相对增多,PGI_2/TXA_2比率下降,导致PR—AⅡ系统活性升高,血管壁对PR—AⅡ系统的敏感性增加,是ESWL后患者出现高血压的主要原因。

关 键 词:体外震波碎石术  高血压  前列腺素  血管紧张素  血栓素

The Role of PR-A I and PGI_2-TXA_2 in the Hypertension Following ESWL
Tang Qunhui,Shao Guoxing,Yu Maosheng,Qin Rongliang,Guo Chonghong.The Role of PR-A I and PGI_2-TXA_2 in the Hypertension Following ESWL[J].Journal of MOdern Urology,1997(4).
Authors:Tang Qunhui  Shao Guoxing  Yu Maosheng  Qin Rongliang  Guo Chonghong
Abstract:The blood samples of 60 patients were determinated. The level of PR, A II and TXA2 of the patients with hypertension following ESWL were significantly higher than those normatensional patients. But the level of PGI2 of the patients were just contraverse. The main possible causes of hypertension following ESWL are: increased concentration of A I and TXA2, decreased concentration of PGI2 and rate of PGI2/ TXA2 make the small vessels to constract strongly and increase the vessel walls' sensitivity to All.
Keywords:Extracorpareal Shock Wave Lithotripsy(ESWL)  Hypertension  Prostacyclin (PGI2)  Thromboxane A2(TXA2)  Angiotension II(A II)
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