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肾性高血压系指各种病因引起的肾实质缺血,继而致肾素-血管紧张素-醛固酮系统亢奋所形成的高血压,治疗上比较困难。近一年来我们用国产巯甲丙脯酸(captopril)治疗肾性高血压,总结报告如下。 资料和方法 一、对象:77例均为肾性高血压住院病人,其中男56例,女21例,平均年龄43.1岁(18—78岁)。其原发病分别为慢性肾炎并慢性肾衰39例;慢性肾炎高血压型9例;肾动脉硬化9例;慢性肾孟肾炎并肾衰5例;糖屎病肾病,肾动脉狭窄各4例,梗阻性肾病2例;痛风肾,多囊肾,嗜铬细胞瘤、双肾部分切除及急性肾衰各1l例。其中44例有不同程度肾衰,平均CCr 0.038L/min。
Renal hypertension refers to a variety of etiologies caused by renal parenchymal ischemia, which in turn leads to hypertension caused by the renin-angiotensin-aldosterone system, which is more difficult to treat. In the past year, we have used captopril to treat renal hypertension, the summary report is as follows. Materials and methods First, the object: 77 patients were hospitalized patients with renal hypertension, 56 males and 21 females, mean age 43.1 years (18-78 years old). The primary disease were chronic nephritis and chronic renal failure in 39 cases; chronic nephritis hypertension in 9 cases; renal atherosclerosis in 9 cases; chronic renal and renal inflammation and renal failure in 5 cases; sugar feces nephropathy, renal artery stenosis in 4 cases , 2 cases of obstructive nephropathy; gouty kidney, polycystic kidney disease, pheochromocytoma, partial nephrectomy and acute renal failure in 1l cases. 44 cases of renal failure with varying degrees, with an average CCr 0.038L / min.