腎動脈狹窄之臨床表現、診斷與治療

10.6666/ClinMed.202011_86(5).0125

王壹；呂信邦

腎動脈狹窄（renal artery stenosis） ； 鬱血性心衰竭（congestive heart failure） ； 缺血性腎病變（ischemic nephropathy） ； 粥狀動脈硬化（atherosclerosis）

臨床醫學月刊

86卷5期（2020 / 11 / 27）

709 - 712

繁體中文

腎動脈狹窄（renal artery stenosis）是造成次發性高血壓最主要的原因，進而會造成頑固性高血壓、缺血性慢性腎病變、體液容積過量；進一步誘發心衰竭、肺水腫、急性冠心症等問題。目前臨床上針對腎動脈狹窄造成的高血壓第一線治療以藥物治療為主。然而藥物反應不佳，臨床症狀嚴重，腎臟有中等程度以上血管狹窄合併顯著血液動力學變化的病人，可能從介入性支架治療獲得好處。本篇文章將針對腎動脈狹窄的臨床表現、診斷方法、治療方式做簡單的介紹。並討論適合介入性支架治療病人的選擇，並提供臨床上的病例與讀者分享。

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