作者：衣少伟1，武宗寅1，赵惠贞2

单位：

1.272000山东省济宁市第一人民医院心血管内科2.272000山东省济宁市第一人民医院急诊内科

Units：

1.Department of Cardiology, Jining First People's Hospital, Jining 272000, China2.Department of Emergency, Jining First People's Hospital, Jining 272000, China

关键词：

肾血管性高血压；病因；诊断；治疗；综述

Keywords：

Renovascular hypertension; Etiology; Diagnosis; Therapy; Review

CLC：

R 544.14

DOI：

10.12114/j.issn.1008-5971.2022.00.280

Funds：

“十三五”国家重点研发专项支持的国家级重大研究项目（2018YFC1312404）

摘要：

　肾血管性高血压（RVH）是继发性高血压最常见的病因之一，指单侧或双侧肾动脉狭窄引起肾脏血流减少，从而激活肾素-血管紧张素系统并诱发血管收缩、水钠潴留等反应，最终引起血压升高。据报道，95%以上的RVH是因肾动脉粥样硬化或肾动脉纤维肌性发育不良所致。近年来随着影像学检查等诊疗手段的快速发展，RVH的其他病因被陆续报道，虽然这些病因少见或罕见，但其对患者疾病管理和预后非常重要。笔者通过检索、分析相关文献，旨在总结RVH少见病因的诊疗进展，以期为RVH的管理提供参考。

Abstract：

Renovascular hypertension (RVH) is one of the most common causes of secondary hypertension, and itrefers to the decrease in renal blood flow caused by unilateral or bilateral renal artery stenosis, thereby activating the reninangiotensinsystem and inducing vasoconstriction, water and sodium retention and other reactions to increase hypertension.Over 95% of cases of RVH are caused by renal atherosclerosis or fibromuscular dysplasia of the renal artery. With the rapiddevelopment of imaging and other diagnostic methods in recent years, other causes of RVH have been reported one after another.Although rare or extremely rare, these causes are important for disease management and prognosis of patients. By searching andanalyzing the relevant literature, the author aims to summarize the progress of diagnosis and treatment of rare causes of RVH, inorder to provide reference for the management of RVH.

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