肾动脉粥样硬化性狭窄与缺血性肾病
摘要
缺血性肾病(ischemic renal disease,IRD)是指任何原因引起肾小球前大、中、小动脉狭窄或阻塞所致肾血流动力学显著改变,导致肾小球滤过率(GFR)明显下降和肾功能减退的慢性肾脏疾病。在多种肾脏病变(包括肾小球、肾小管间质和血管病变)的发生和发展过程中,均有缺血因素的参与,但只有慢性缺血作为主要原因和始动因素所引起肾脏病变,才可认为是IRD。其病因广义上指肾内动脉各级分支(包括小动脉)狭窄或阻塞等所导致的缺血性肾实质损害。
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2009年第8期631-634,共4页
Chinese Journal of Geriatrics
参考文献16
-
1Pickering TG, Blumenfeld JD. Renovascular hypertension and ischemie nephropathy. In: Brenner BM, editor. Brenner and Rector's The Kidney.Philadelphia: WB Saunders Co, 2000. 2007-2034.
-
2Scoble JE, Maher ER, Hamilton G, et al. Atherosclerotic renovascular disease causing renal failure. A case for tretment. Clin Nephrol, 1989,31: 119-122.
-
3张晓英 孙世澜 周朝阳 主编.动脉粥样硬化与缺血性肾病[A].孙世澜,周朝阳,主编.肾脏病理论与实践[C].北京:人民军医出版社,2005.326-346.
-
4Kohli RS,Vetrovee GW. Clinical predictors of renal artery stenosis in patients undergoing coronary angiography. In: Timio M and Wizemen W. Cardionephrology. 1991. 443-445.
-
5Kohli RS, Vetrovee GW. High prevalence of renal artery stenosis in patients with renal insufficiency undergoing coronary angiography. In: Timio M and Wizemen W. Cardionephrology. 1991, 27-29.
-
6Haeding MB, Smith LR, Himmelstein SI, et al. Renal artery stenosis., prevalence and associated risk factors in patients undergoging cardiac catheterization. J Am Soc Nephrol,1992,2:1608-1616.
-
7Valentine R J, Myers SI, Miller GL, et al. Detection of unsuspected renal artery stenosis in patients with abdominal aortic aneurysms: refined indications for preoperative nortography. Ann Vase Surg, 1993, 7: 220-224.
-
8Hansen KJ, Edarven MS, Grvaen TE, et al. Prevalence of renovascular disease in the elderly- a population based study. J Vasc Surg, 2002, 36: 443-445.
-
9Chade AB, Leman LO. Kidney in early atherosclerosis. Hypertension, 2005,45 : 1042-1049.
-
10Mailous L, Napolitano B, Belluic AG, et al. Renal vascular disease causing end stage renal disease, incidence, clinical correlates, and outcomes: a 20-year clinical experience. Am J Kidney Dis, 1994, 24: 622-629.
二级参考文献16
-
1Mailloux LU, Napolitano B, Bellucci AG, et al. Renal vascular disease causing end-stage renal disease, incidence,clinical correlates, and outcomes:a 20-year clinical experience.Am J Kidney Dis, 1994,24:622-629.
-
2Conlon PJ, Athirakul K, Kovalik E, et al. Survival in renal vascular disease. J Am Soc Nephrol, 1998,9:252-256.
-
3Harding MB, Smith LR, Himmelstein SI, et al. Renal artery stenosis: prevalence and associated risk factors in patients undergoing routine cardiac catheterization. J Am Soc Nephrol,1992,2:1608-1616.
-
4Vetrovec GW, Landwehr DM, Edwards VL. Incidence of renal artery stenosis in hypertensive patients undergoing coronary angiography.J Intervent Cardio, 1989,2:69-76.
-
5Setsuko K, Naoki N, Takashi U. Prevalence of renal artery stenosis in autopsy patients with stroke. Stroke, 2000,31:61.
-
6Choudhri AH, Cleland JG, Rowlands PC, et al. Unsuspected renal artery stenosis in peripheral vascular disease. Br J Med,1990,301:1197-1198.
-
7Salmon P, Brown MA. Renal artery stenosis and peripheral vascular disease: implication for ACE inhibitor therapy.Lancet, 1990,336:321.
-
8Crook E. The role of hypertension, obesity, and diabetes in causing renal vascular disease. Am J Med, 1999, 317:183-188.
-
9Graham IM, Daly LE, Refsum HM, et al. Plasma homocysteine as a risk factor for vascular disease. The European Concerted Action Project.JAMA,1997, 277:1775-1781.
-
10Christen WG, Ridker PM. Blood levels of homocysteine and atherosclerotic vascular disease. Curr Atheroscler Rep, 2000,2:194-1991.
共引文献66
-
1潘丽萍,王唏,杨桂鲜.丹参川芎嗪治疗慢性缺血性肾病临床疗效及对血流参数等的影响[J].中国实用内科杂志,2009,29(S2):200-202.
-
2王梅,王海燕.缺血性肾病发病机制和预后[J].中国实用内科杂志,2005,25(10):865-866. 被引量:16
-
3王海燕.动脉粥样硬化性肾动脉狭窄——呼唤跨学科的研讨与合作[J].中华内科杂志,2005,44(11):801-802. 被引量:7
-
4王梅.动脉粥样硬化性肾动脉狭窄治疗方式的选择及其评价[J].中华内科杂志,2005,44(11):807-808. 被引量:2
-
5张军茹,张路霞,王梅,王英.持续质量改进在动脉粥样硬化性肾动脉狭窄患者随访中的作用[J].中国实用护理杂志,2006,22(2):8-10.
-
6张晓英.老年人肾动脉粥样硬化性狭窄[J].中华老年医学杂志,2006,25(1):10-11. 被引量:5
-
7韩彬,兰红勤,刘建和.益肾通络汤治疗慢性缺血性肾病27例临床观察[J].中医药导报,2006,12(4):18-20. 被引量:1
-
8郭云珊,袁伟杰,边琪,许静,李保春,于建平,付鹏,于光,崔若兰.动脉粥样硬化性肾动脉狭窄与良性小动脉肾硬化临床特点的差异分析[J].中华肾脏病杂志,2006,22(6):319-322. 被引量:6
-
9钱芸娟,姚坚坚,郝文科,方晓武,王健儿,詹如冰.老年患者动脉粥样硬化性肾动脉狭窄的临床分析[J].中华老年医学杂志,2006,25(6):451-452. 被引量:4
-
10邓中龙,罗海明,姚望,丁永生,倪肖卫,袁军.中老年病人肾动脉开口部狭窄检出率及结果分析[J].中西医结合心脑血管病杂志,2006,4(11):953-955.
-
1张晓英.老年人肾动脉粥样硬化性狭窄[J].中华老年医学杂志,2006,25(1):10-11. 被引量:5
-
2杨雪辉,卢冬敏,张亚勤.超声检查在胆道支架中的临床作用[J].河北医药,2011,33(22):3439-3440.
-
3陆春来,赵学智.缺血性肾病的损伤机制[J].国际泌尿系统杂志,2003,23(S1):65-69. 被引量:3
-
4卢晓军,王亮.影像学检查在冠状动脉搭桥术后的应用及进展[J].包头医学院学报,2013,29(3):127-130.
-
5周岩,王金泉.动脉粥样硬化性缺血性肾病的诊断和治疗[J].肾脏病与透析肾移植杂志,2006,15(4):354-359.
-
6张庆芳,安惠霞,赵玮.血管活性物质对缺血性肾病的影响[J].中国中西医结合肾病杂志,2010,11(12):1126-1128. 被引量:1
-
7马文林.缺血性肾病及介入治疗[J].中国社区医师,2007,23(5):17-18.
-
8林善锬.重视对缺血性肾脏疾病诊治的研究[J].中华内科杂志,2000,39(6):367-368. 被引量:7
-
9陆春来,赵学智.缺血性肾病的临床诊断与治疗[J].国际泌尿系统杂志,2003,23(S1):62-65. 被引量:4
-
10饶向荣,王丽,戴希文.动脉粥样硬化性肾动脉狭窄的治疗[J].中国中西医结合杂志,2009,29(1):89-93. 被引量:3