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肾血管性高血压是一种外科可治愈的高血压,高血压病人中的5—10％属于肾动脉狭窄。近年诊断技术不断改进,使肾血管性高血压外科治疗获得较大的进展。本文简述其诊断与外科治疗方面的几个问题。诊断问题在高血压患者中把本病筛选出来,有可能改善患者预后,目前采取下列步骤。一、病史与体征详细询问病史,初步排除其他原因所致高血压。本病发病年龄一般小于35岁,血压高而波动性不大,药物治疗不满意,很少有家族史,高血压发展迅速,易导致恶性高血压。体检脐上可闻血管
Renovascular hypertension is a surgically curable hypertension, and 5-10% of hypertensive patients are renal artery stenoses. In recent years, continuous improvement of diagnostic techniques, the surgical treatment of renovascular hypertension have made great progress. This article outlines several issues in diagnosis and surgical treatment. Diagnosing problems Screening out this disease in hypertensive patients may improve the prognosis of patients and currently take the following steps. First, the history and signs of detailed history, initially ruled out other causes of hypertension. The age of onset of the disease is generally less than 35 years old, high blood pressure and volatility is not, drug treatment is not satisfied, little family history, rapid development of hypertension, easily lead to malignant hypertension. Physical examination can smell the umbilical blood vessels