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2.
Chirurgia (Bucur) ; 103(3): 301-7, 2008.
Artigo em Romano | MEDLINE | ID: mdl-18717279

RESUMO

OBJECTIVES: symptoms in renovascular hypertension can be wrong interpreted, which leads to a late diagnostic, after discover the determination disease. MATERIALS AND METHODS: the study on the renovascular hypertension was made on 20 patients, aged between 2 and 36 years old, diagnosed with reno-ureteral malformations, pyelonephritis, reno-ureteral reflux and renal trauma as a determination disease, leads to manifestation types that guide the diagnostic: neuro-psychiatric signs, weight loss, renal signs and digestive signs. Beginning from these signs the arterial hypertension was diagnosed and the investigations determined the causes. RESULTS: Periodic postoperative evaluation at 3 months, during a period between 4 months and 7 years, individualised 4 evolutional clinical types: AHT with lumbar pain, AHT with no clinical signs, AHT with ophthalmologic signs and AHT with encephalitis like signs. CONCLUSIONS: symptoms in renovascular hypertension don't have pathognomonic clues and the identified signs, one type or all together, enforce the evaluation or even the monitoring of the arterial tension at least 30 days. If the values exceed the normal, complex investigations will be made in order to determine the specific cause of the AHT.


Assuntos
Hipertensão Renovascular/complicações , Hipertensão Renovascular/diagnóstico , Dor Abdominal/etiologia , Adolescente , Adulto , Dor nas Costas/etiologia , Monitorização Ambulatorial da Pressão Arterial , Criança , Pré-Escolar , Feminino , Transtornos da Cefaleia/etiologia , Humanos , Hipertensão Renovascular/etiologia , Hipertensão Renovascular/terapia , Rim/anormalidades , Masculino , Pielonefrite/complicações , Escotoma/etiologia , Ureter/anormalidades , Transtornos Urinários/etiologia , Vertigem/etiologia , Refluxo Vesicoureteral/complicações , Transtornos da Visão/etiologia , Vômito/etiologia , Redução de Peso
3.
Chirurgia (Bucur) ; 103(6): 673-6, 2008.
Artigo em Romano | MEDLINE | ID: mdl-19274913

RESUMO

The researches performed during the last four decades did not elucidate completely the pathogenic mechanism of the renovascular hypertension. The present knowledge considers that the origins of renovascular hypertension are the imbalance between the renal hypotensive system located in the medullar renal site (antihypertensive and hypotensive substances) and the renal hypertensive system (renin-angiotensin-aldosterone) located cortically. As an additional mechanism in producing hypertension is involved the disorder of hydro electrolytic metabolism, as a result of decreased excretory function, inducing an increase of plasmatic natrium level, of volemia and interstitial liquid.


Assuntos
Hipertensão Renovascular/diagnóstico , Hipertensão Renovascular/fisiopatologia , Rim/anormalidades , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Hipertensão Renovascular/cirurgia , Masculino , Nefrolitíase/complicações , Nefrolitíase/diagnóstico , Nefrolitíase/cirurgia , Resultado do Tratamento , Sistema Urinário/anormalidades , Infecções Urinárias/diagnóstico , Infecções Urinárias/microbiologia , Infecções Urinárias/cirurgia
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