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2例儿童期肾血管性高血压的低血钠-高血压综合征 被引量:1
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作者 ashida a. Matsumura H. +1 位作者 Inoue N. 朱新菊 《世界核心医学期刊文摘(儿科学分册)》 2006年第9期16-16,共1页
We report two children with renovascular hypertension and fibromuscular dysplasia. They initially presented with severe hyponatremia,hypokalemia,polyuria,and transient proteinuria. This combination of symptoms is know... We report two children with renovascular hypertension and fibromuscular dysplasia. They initially presented with severe hyponatremia,hypokalemia,polyuria,and transient proteinuria. This combination of symptoms is known to occur in patients with renovascular and malignant hypertension,and is known as hyponatremic-hypertensive syndrome (HHS),although it is considered rare in children. Since in both of our patients,the renal arterial stenosis was very severely or almost totally occlusive,we could not perform percutaneous transluminal renal artery angioplasty,and therefore nephrectomy was the only option. A histological study showed partial or complete occlusion with intimal hyperplasia and medial fibroplasia of intrarenal arteries such as the interlobular arteries. Conclusion: Both patients showed rapidly progressive renovascular hypertension and loss of function of the affected kidney. In order to preserve renal function in such cases,early invasive intervention appears to be necessary. 展开更多
关键词 肾血管性高血压 低血钠 小叶间动脉 组织学检查 肾动脉狭窄 肾内动脉 发育不良 纤维组织 多尿 肾切
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