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題 名 | Percutaneous Transluminal Coronary Angioplasty for Renovascular Hypertension in a Child: A Case Report=經皮氣球血管擴張術治療罹患腎血管性高血壓症病童:一病例報告 |
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作 者 | 李建勳; 黃碧桃; 李必昌; 傅雲慶; 邢學平; 陸振翮; 孟春昌; | 書刊名 | 中華醫學雜誌 |
卷 期 | 62:10 1999.10[民88.10] |
頁 次 | 頁733-737 |
分類號 | 417.574 |
關鍵詞 | 經皮氣球血管擴張術; 腎動脈狹窄; 腎血管性高血壓; Percutaneous transluminal coronary angioplasty; Renal arterial stenosis; Renovascular hypertension; |
語 文 | 英文(English) |
中文摘要 | 傳統治療由腎動脈狹窄引發的高血壓,可分為外科手術治療和內科治療兩種。自 1978年經皮氣球血管擴張術成功地治療由腎動脈狹窄引發的高血壓之後,氣球血管擴張術 已被廣泛應用。本篇報告以經皮氣球血管擴張術,成功地治療1位患高血壓的9歲男童。這 位男童因為在學校體檢時,發現其血壓竟高達164╱100mmHg而前來求診。腎動脈杜卜勒 超音波發現,左側腎動脈的血流速度為90-109 cm╱秒。腎動脈血管攝影發現,左腎動脈有 明顯的狹窄及狹窄後擴大的現象。經由股動脈放入直徑4mm的氣球導管至狹窄處,經過5 次的充氣擴張後,再作腎動脈血管攝影,發現狹窄處已有明顯改善,而且病童血壓也降回正 常範圍。在往後的1年追蹤期間,病童一直維持正常的血壓,而且沒有服用任何降血壓藥物。 |
英文摘要 | Since its introduction, percutaneous transluminal coronary angioplasty has become an alternative therapeutic modality to surgical and medical treatment for renovascular hypertension. We report the case of a nine-year-old boy who had hypertension casued by renal arterial stenosis. The patient's high blood pressure was 164/100 mmHg, which was discovered incidentally during a physical check-up. A selective renal angiography showed a severe short-segment stenosis with post- stenotic dilatation of the left renal artery. A 4-mm balloon catheter was advanced through the stenotic area and was inflated five times to dilate the stenosis. After the procedure, the selective renal angiography showed a significant increase in the diameter of the left renal artery. Blood pressure decreased to normal immediately after the procedure. During the one-year follow-up period, the patient remained normotensive without the use of antihypertensive drugs. s. |
本系統中英文摘要資訊取自各篇刊載內容。