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題名 | 經皮穿腔腎動脈擴張術治療腎血管性高血壓--病例報告=Percutaneous Transluminal Renal Angioplasty in a Patient with RenoVascular Hypertension-Case Report |
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作者姓名(中文) | 張瑞月; 陳澄鋆; 高宏門; 陳永平; | 書刊名 | 內科學誌 |
卷期 | 8:4 1997.12[民86.12] |
頁次 | 頁194-198 |
分類號 | 415.382 |
關鍵詞 | 腎血管性高血壓; 經皮穿腔腎動脈擴張術; Renovascular hypertension; Percutaneous transluminal renal angioplasty; |
語文 | 中文(Chinese) |
中文摘要 | 一位26歲女性病人罹患高血壓已7、8年,數年來斷續接受降壓劑治療但效果不 佳,經轉介至本院進一步檢查及治療。在懷疑繼發性高血壓的情形下,我們檢測病人血中腎 素及醛固酮,兩者皆高於正常值。兩側腎靜脈血液取樣,右腎靜脈腎素與左腎靜脈腎素之比 值高於1.5倍。於是我們為病人作了主動脈攝影,右腎明顯地比左腎小1.5公分,在右腎動 脈的中段發現一處75%的狹窄。病人接受了經皮穿腔腎動脈擴張術,成功地擴張了狹窄病 灶。病人的血壓在第二天降至正常範圍不需藥物控制。 C |
英文摘要 | A 26-year-old female patient suffered from hypertension for 7 to 8 years. She took antihypertensive medications irregularly, but her blood pressure was poorly controlled. She was referred to our hospital for evaluating the probability of secondary hypertension. Her plasma renin activity and aldosterone were higher than normal ranges. Abdominal aortogram showed that the length of left kidney was 1.5 cm larger than right kidney. Renal vein renin test was lateralizedly hith in the right renal vein. Selective renal angiogram showed one discrete concentric 75% stenosis on the middle portion of right renal artery. She received percutaneous transluminal renal angioplasty, and the lesion was successfully dilated. Her blood pressure returned to normal range without antihy- pertensive medications on the second day. We discuss and review the applicationf of percutaneous transluminal renal angioplasty in the treatment of renovascular hypertension. |
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