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本文是加州大学介入性放射学查房中讨论的内容,主要研究放射科医师在处理病人中所起的作用。本文探讨了一些涉及肾血管性高血压诊断和治疗中的争论性问题。Dr.Burke 报告:患者女性,48岁,剧烈、跳动性头痛两周。吸烟、中等肥胖。患糖尿病、肾小球肾炎或肾盂肾炎,但无症状,也无与动脉炎或全身动脉硬化有关的症状。否认高血压、糖尿病或动脉硬化性心血管疾病的家族史。物理检查:血压220/120mmHg,眼底镜检查有Ⅰ度动脉狭窄,无出血、渗出或动静脉局部缩窄。
This article is part of a discussion at the University of California School of Interventional Radiology on the role of radiologist in treating patients. This article explores some of the controversial issues involved in the diagnosis and treatment of renovascular hypertension. Dr. Burke Report: Patient Female, 48 years old, severe, beating headache for two weeks. Smoking, medium fat. Suffering from diabetes, glomerulonephritis or pyelonephritis, but asymptomatic, nor with arteritis or systemic arteriosclerosis-related symptoms. Denied family history of hypertension, diabetes or arteriosclerotic cardiovascular disease. Physical examination: blood pressure 220 / 120mmHg, ophthalmoscopy grade Ⅰ artery stenosis, no bleeding, exudation or arteriovenous local narrowing.