There is a dynamic high blood pressure, quot;knif

Question
There is a dynamic high blood pressure, quot;knifequot; Zeling
Answer
Some hypertensive patients, long-term use of antihypertensive drugs does not work, after further inspection, found to be caused by renal artery stenosis hypertension, after surgical treatment and complete recovery. That the majority of patients were not the kind of essential hypertension. Hypertension is divided into primary and secondary. The incidence of essential hypertension has not yet fully understand the reasons may be changes in blood vessel flexibility caused by a variety of factors. Secondary hypertension may be due to kidney disease, endocrine disease, such as a result of their cause can be identified, it is also called for the symptoms of high blood pressure, such as kidney, adrenal pheochromocytoma and so on. Renal artery stenosis and hypertension is secondary hypertensionIn one of the most common, accounting for about 5% of hypertensive patients ~ 10%. Renal artery stenosis caused by many reasons, such as atherosclerosis, abnormal growth of muscle fibers, multiple arteritis, as well as rare unilateral or bilateral renal artery hypoplasia, such as. In our country, Takayasu#39;s Arteritis is a common reason, accounting for all the renal artery for more than half of hypertension. High blood pressure medication that is often slow, moving quot;knifequot; is spiritual. Renal artery stenosis and clinical manifestations of hypertension are as follows: 鈶?Although the disease can occur at any age, but persons under 30 years of age see more; 鈶?shorter history; 鈶?obvious sudden high blood pressure, or the original high bloodSudden pressure increase; 鈶?no family history of hypertension; 鈶?poor efficacy of antihypertensive drugs; 鈶?ridge on the abdomen or the waist and rib area of vascular murmur could be heard; 鈶?traumatic history of the waist. Of course, need further examination, it is necessary to rely on the angiography of renal artery can be diagnosed. Renal artery stenosis as a result of drug treatment of hypertension difficult to control, so unilateral renal artery stenosis on the patient side of the past often used method of kidney removal. With the level of medical technology, surgery and reconstruction of renal artery percutaneous transluminal angioplasty (PTA) to treat this disease better way. Operation resulted in the use of renal artery patency change, renal blood flow returned to normal, so that the blood pressure of renal transferSystem Restore section. At present, a short paragraph on possible intervention in the treatment of stenosis, PTA and intravascular stent placement, you can not through the surgery, the effect is also very good. However, the long narrow occlusion should choose surgical treatment, the abdominal aorta - renal artery bypass surgery effects good postoperative blood pressure can make an immediate return to normal. Therefore, the effect of the poor suffering from high blood pressure medication, especially young people, high blood pressure, should be further detailed examination, in order to avoid misdiagnosis and mistreatment. (Internship Editor: Mrs Sharon)