本文报道78例肾血管性高血压的临床表现、诊断要点和外科手术与药物治疗的比较。肾血管性高血压的临床表现有以下一些特征:发病年龄早、病程短、血压高、病情重、上腹部有血管杂音.诊断方法以肾动脉血管造影的确诊率为最高,静脉肾盂造影和同位素肾图有一定百分率的假阴性.手术治疗效果比药物治疗为佳,降压疗效达78.0%。作者认为,对有手术指征的肾血管狭窄性高血压,应及时争取手术. This article reports 78 cases of renal vascular hypertension clinical manifestations, diagnostic points and surgical and drug treatment comparison. The clinical manifestations of renal vascular hypertension have the following characteristics: early onset, short duration, high blood pressure, severe illness, upper abdominal vascular murmur.The diagnosis of renal artery angiography confirmed the highest rate of intravenous pyelography and isotope Nephrology has a certain percentage of false negatives.Surgical treatment is better than drug treatment, antihypertensive effect of 78.0%. The authors believe that surgical indications of renal vascular stenosis should promptly seek surgery.