[常规免疫抑制治疗和环孢素A治疗的肾移植术后动脉高血压患者]。

Vutreshni bolesti Pub Date : 1990-01-01
B Beleva
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引用次数: 0

摘要

对109例(110例)肾移植术后动脉高血压的发生频率及原因进行了分析。75例有效肾功能患者随访1年。其中46 + 2例患者接受硫唑嘌呤治疗,27例患者存在高血压。环孢霉素A治疗29 + 2例,其中18例合并高血压。与环孢素a组相比,硫唑嘌呤组动脉压出现的频率和值均明显高于环孢素a组,动脉压与血清环孢素a水平呈微弱的反向关系。动脉压在第一个月最高,在第三个月略有下降,随后再次上升。动脉高血压的基本原因是排斥反应、患者自己的肾脏留在原位、移植动脉狭窄。
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[Arterial hypertension following kidney transplantation in patients on conventional immunosuppressive therapy and in those treated with cyclosporin A].

The frequency and the causes of arterial hypertension following renal transplantation were studied in 109 patients (110 renal transplantations). 75 patients with efficient renal function were followed up for one year. 46 + 2 of these patients received Azathioprin and 27 of them had arterial hypertension. Cycloeporin A received 29 + 2 patients and 18 of them had arterial hypertension. In the patients treated with Azathioprin a significantly greater frequency and higher values of the arterial pressure were found than in the patients treated with Cycloprorin A. A weak reverse relation was established between the arterial pressure and the serum cyclosporin A level. The arterial pressure was highest during the first month, slightly decreased at the third month and then rose again, later. Basic causes of arterial hypertension were the rejection reactions, the patients' own kidneys which were left in their place, arterial stenosis of the transplant.

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