Abstract:
Refractory hypertension is a challenge in End Stage Renal Disease (ESRD) patients who are on regular hemodialysis, despite the use of novel antihypertensive agents and tailor-made dialysis prescriptions. Bilateral nephrectomy seems to be a forgotten option. We present a case history of 16 year old boy who underwent open bilateral nephrectomy as a rescue therapy for refractory hypertension. This surgical treatment option of blood pressure led to satisfactory control of hitherto refractory hypertension complicated with multiple life-threatening episodes of hypertensive crises.
摘要:
难治性高血压是一个挑战,在终末期肾病(ESRD)患者谁是定期血液透析,尽管使用了新型降压药和量身定制的透析处方。双侧肾切除术似乎是一个被遗忘的选择。我们介绍了16岁男孩的病史,该男孩接受了开放性双侧肾切除术作为难治性高血压的抢救治疗。这种血压的手术治疗选择可令人满意地控制迄今为止的难治性高血压,并伴有多次危及生命的高血压危机。