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经皮穿刺肾动脉腔内成形术治疗肾血管性高血压五例
引用本文:李元勋 郑笑莲. 经皮穿刺肾动脉腔内成形术治疗肾血管性高血压五例[J]. 医学争鸣, 1989, 10(1): 20-22
作者姓名:李元勋 郑笑莲
作者单位:西京医院心肾科(李元勋,郑笑莲),西京医院心肾科(贾国良)
摘    要:作者报告5例肾动脉狭窄高血压,经皮穿刺肾动脉内成形术(PTRA)的临床应用。介绍了操作步骤和方法。经PTRA后5例血压迅速降到正常,但其中1例因双侧多处狭窄于7月后又升到22.66/14.40 kPa,余4例随访达2年,血压正常。PTRA后一周尿蛋白均消失,肾图恢复正常。无明确并发症,优于外科治疗。

关 键 词:PTRA 高血压 肾动脉狭窄

Percutaneous Transluminal Renal Angioplasty in the Treat-ment of Renal Hypertension: Report of Five Cases
Li Yuanxun,Zheng Xiaolian and Jia Guoliang. Percutaneous Transluminal Renal Angioplasty in the Treat-ment of Renal Hypertension: Report of Five Cases[J]. Negative, 1989, 10(1): 20-22
Authors:Li Yuanxun  Zheng Xiaolian  Jia Guoliang
Affiliation:Li Yuanxun,Zheng Xiaolian and Jia GuoliangDepartment of Cardiolcgy-Nephrology,Xijing Hospital
Abstract:Ia this article 5 patients with renal artery stenosis hypertesion were reported. Percutaneous transluminal renal angioplasty (PTRA) was used in the treatment of all these patients. After PTRA the arterial blood pressure decreased to normal in one or two hours, only in one patient the blood pressure rose again to 22.6/14.4kPa seven months later, because she suffered from bilateral artery multis-teaosis,One week after PTRA the proteinuria disappeared in all the five patients, and the radionuclide renogram normalized.No complications occurred. It is suggested that PTRA in the treatment of renal artery stenosis is far better than surgical managements.
Keywords:percutaneous transluminal reaal angioplasty  renovascular hyperten-sion  reaal artery stenosis  dilatation
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