文档介绍:该【肾血管病的处理ppt课件 】是由【小落意】上传分享,文档一共【92】页,该文档可以免费在线阅读,需要了解更多关于【肾血管病的处理ppt课件 】的内容,可以使用淘豆网的站内搜索功能,选择自己适合的文档,以下文字是截取该文章内的部分文字,如需要获得完整电子版,请下载此文档到您的设备,方便您编辑和打印。肾血管病的处理ppt课件InterrelationamongRenalArteryStenosis,Hypertension,andChronicRenalFailureDefinitionofRenalArteryStenosisRenalarterystenosis(RAS)isdefinedasnarrowingofthelumenoftherenalartery.*angiographicdiameterstenosis>50%*translesionalpressuregradientof>20mmHgpeaksystolicor10mmHgmeanmoncausesofRASareatherosclerosis(>80%),aortoarteritis(<15%),andfibromusculardysplasia(<5%)~3%~30%inpatientswithsecondaryhypertensionIncidenceofRenalArteryStenosisatheterizationAuthorsYearCountryPatientsAgeCAD(%)HT(%)RAS(%)**********=Coronaryarterydisease;HTN=Hypertension;RAS=significantrenalarterystenosis;NA=inChinesepopulationStudyAuthorsZhangetalPts,n1200RAS>50%,%,RenalArteryStenosis,ephropathyClinicalCriteriaforRevascularizationHypertension:acceleratedhypertension;refractoryhypertension;malignanthypertension;hypertensionwithaunilateralsmallkidney;:suddenunexplainedworseningofrenalfunction;impairmentofrenalfunctionsecondarytoantihypertensivetreatment,particularlywithanangiotensin-convertingenzymeinhibitororangiotensinIIreceptorblocker;:recurrent"flash"pulmonaryedemaoutofproportiontoanyimpairmentofleftventricularfunction,:ACEinhibitorsorAngiotensinreceptorblockers?,etal.?MayoClinProc2000;75:437-444BaboolalKAmJKidneyDis2019;31:971-977