患者男性,23岁,因头昏、头痛20余天,于78年11月18日入本院,诊断为急进型高血压,经系统治疗无效,血压波动在160～190/108～130毫米汞柱之间,79年1月18日行肾动脉造影,诊断为肾性高血压,于2月15日转外科治疗。检查:血压150/100毫米汞柱,两肾未扪及,右上腹及右肾区可闻及血管杂音。静脉尿路造影:右肾排泄功能迟缓;腹膜后充气 Male patient, 23 years old, was dizzy and had headache for more than 20 days. He was admitted to our hospital on November 18, 78 and was diagnosed as acute hypertension. The systemic treatment was ineffective. The blood pressure fluctuated between 160-190 / 108-130 mm Hg Between January 18, 79 underwent renal artery angiography, diagnosis of renal hypertension, surgery on February 15. Check: blood pressure 150/100 mm Hg, two renal palpable right upper quadrant and right kidney area can smell vascular murmur. Intravenous urography: retardation of right renal excretory function; retroperitoneal inflation