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肾动脉狭窄可引起严重的一般药物不能控制的高血压,而究其原因多为:大动脉炎、动脉粥样硬化和动脉纤维肌肉增生。国内尤以大动脉炎造成肾动脉开口部狭窄为多。但也有少数因肾上腺肿瘤包绕肾动脉造成狭窄。现报告二例。例1、男,25岁、因高血压6年余外院作肾动脉造影示左肾动脉狭窄、左肾萎缩,于1973年11月手术探查,术中收缩压升至400mmHg又下降至“0”并发,现肾蒂附近有一鸭蛋大不规则肿瘤,冰冻切片为恶性化学感受器瘤,因准备不足仅作在肾切除。转入我院后1974年5月16日经11肋间切口,见左肾蒂处10×8
Renal artery stenosis can cause severe general drug can not control the hypertension, and the reasons for the many: aortitis, atherosclerosis and arterial fibrosis. In particular, caused by arteritis in China caused by renal artery stenosis as much. But there are also a small number of adrenal tumors surrounding the renal artery caused by stenosis. Now report two cases. Example 1, male, 25 years old, due to hypertension 6 years outside the hospital for renal artery angiography showed left renal artery stenosis, left renal atrophy, in November 1973 surgical exploration, intraoperative systolic blood pressure rose to 400mmHg and dropped to “0” Concurrency, there is a large irregular kidney near the kidney pedicle tumor, frozen section of malignant chemosensory neoplasia, due to lack of preparation only for nephrectomy. Into our hospital after May 16, 1974 11 intercostal incision, see the left renal pedicle 10 × 8