肾血管性高血压导致一过性肺水肿临床病例报告及治疗

目的探讨肾动脉狭窄导致肾血管性高血压引起的一过性肺水肿的原因和治疗措施。方法本文报告了3例肾动脉狭窄引起的一过性肺水肿患者,观察疾病的临床特点,采用肾动脉介入治疗肾动脉狭窄导致肾血管性高血压引起的一过性肺水肿。结果肾动脉狭窄导致的肾血管性高血压是引起的一过性肺水肿的原因。3例肾动脉狭窄引起的一过性肺水肿患者中,2例是大动脉炎引起的肾动脉狭窄,1例是动脉粥样硬化引起的肾动脉狭窄。在这3例肾动脉狭窄患者中,有2例是双侧肾动脉狭窄,有1例是单侧肾动脉狭窄。这3例患者反复发生一过性肺水肿。介入治疗后,随访1年未再出现一过性肺水肿。结论介入治疗是肾血管性高血压导致一过性肺水肿的有效治疗措施之一。

Recurrent Flash Pulmonary Oedema in Hypertension due to Renal Artery Stenosis: Treatment by Angioplasty Revascularization

Objective To investigate the causes and treatment of recurrent flash pulmonary oedema in hypertension due to renal artery stenosis.Methods We report three patients with sympotoms and signs of congestive heart failure in whom renal artery stenosis was the underlying cause,and relief of the stenosis led to resolution of the heart failure.Renal artery stenosis is a rare cause of acute recurrent pulmonary oedema in patients with hypertension.We evaluated 3 patients with renovascular disease who were treated with percuta- neous renal artery stent placement.Mean follow-up was 12 months after stent placement.Results 2 pa- tients with aorto-arteritis renvoascular hypertension and 1 patient with atherosclerosis renvoascular hyperten- sion had a history of multiple episodes of pulmonary oedema.2 patients had stenosis of both renal arteries, and 1 patient had unilateral stenosis.Conclusion Recurrent pulmonary oedema can be prevented by suc- cessful angioplasty revascularization in one or both renal arteries.