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动脉粥样硬化性肾动脉狭窄(ARAS)是一慢性缺血进展性肾病(CIRD),是中老年人终末期肾病(ESRD)常见原因之一。在冠状动脉粥样硬化性心脏病、充血性心力衰竭、周围血管病和慢性肾衰竭人群中具有较高的患病率。临床上常表现难治性高血压、肾功能不全和肺水肿,部分患者可无症状直至出现ESRD,容易误诊。经肾血管介入治疗或外科手术治疗多数患者病情可缓解,但预后往往较差。充分认识和重视引起的慢性肾脏病,早期诊断,及时治疗,更好地保护肾功能,减少和延缓ESRD的发生和进展,改善预后。
Atherosclerotic renal artery stenosis (ARAS) is a chronic ischemic progressive nephropathy (CIRD) that is one of the common causes of end-stage renal disease (ESRD) in the elderly. In coronary atherosclerotic heart disease, congestive heart failure, peripheral vascular disease and chronic renal failure in the population has a higher prevalence. Clinically often refractory hypertension, renal insufficiency and pulmonary edema, some patients may be asymptomatic until the emergence of ESRD, easily misdiagnosed. Renal vascular intervention or surgical treatment of most patients can ease the disease, but the prognosis is often poor. Fully understand and attach importance to the cause of chronic kidney disease, early diagnosis, timely treatment, better protection of renal function, reduce and delay the occurrence and progression of ESRD, and improve prognosis.