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终末期肾功衰竭(肾衰)并发高血压可达80%~90%,这与原发病理、肾功能损害程度有密切关系。持续高血压可使脑血管、心脏受累,且可使肾功能进一步恶化,并又成为终末期肾衰的主要原因之一。本文将近年来53例肾衰并发高血压血液透析前后血压的变化加以分析。 1 临床资料:原发病:肾结核3例,慢性肾小球肾炎40例,慢性肾盂肾炎6例,红斑狼疮性肾炎和肾囊肿各2例。年龄19岁~63岁;男31例、女22例。凡符合下例三项条件者列为本组分析:①肾衰诊断:按第三版全国高等医药院校教材肾功不全章的标准。
End-stage renal failure (renal failure) high blood pressure can reach 80% to 90%, which is closely related to the primary pathology, the degree of renal damage. Continuous high blood pressure can make cerebrovascular, heart involvement, and can further deteriorate renal function, and has become one of the major causes of end-stage renal failure. In this paper, 53 cases of renal failure in recent years with hypertension before and after hemodialysis changes in blood pressure were analyzed. 1 Clinical data: Primary disease: 3 cases of renal tuberculosis, 40 cases of chronic glomerulonephritis, chronic pyelonephritis in 6 cases, lupus nephritis and renal cysts in 2 cases. Age 19 years old to 63 years; 31 males and 22 females. Those who meet the following three conditions were included in the analysis of this group: ① diagnosis of renal failure: According to the third edition of the National Higher School textbook renal insufficiency standards.