经桡动脉导管消融去肾交感神经术治疗顽固性高血压一例
邹玉宝,董徽,蒋雄京,彭猛,沈松鹤,卞谨,刘亚欣,宋雷,张慧敏,吴海英
摘要(Abstract)：
<正>患者男,43岁,以"反复头晕12年"入院。12年前因反复头晕发现血压显著升高,同时使用四种足量降压药物也难以控制。既往高脂血症4年,吸烟史20年,无早发心血管病家族史。入院查体:上肢血压170/120 mmHg(1 mmHg=0.133 kPa),其余无阳性体征。实验室检查:尿常规示蛋白(-),红细胞(-);尿微量白蛋白227.6 mg/L;血清肌酸酐90.3μmol/L,血清尿
关键词(KeyWords)： 导管消融;高血压
基金项目(Foundation):
作者(Author): 邹玉宝,董徽,蒋雄京,彭猛,沈松鹤,卞谨,刘亚欣,宋雷,张慧敏,吴海英
参考文献(References)：
- [1]Krum H,Schlaich M,Whitbourn R,et al.Catheter-based renal sympathetic denervation for resistant hypertension:a multicentre safety and proof-of-principle cohort study.Lancet,2009,373:1275-1281.
- [2]Esler MD,Krum H,Sobotka PA,et al.Renal sympathetic denervation in patients with treatment-resistant hypertension(the Symplicity HTN-2 Trial):a randomised controlled trial.Lancet,2010,376:1903-1909.
- [3]Bhatt DL,Kandzari DE,O'Neill WW,et al.A controlled trial of renal denervation for resistant hypertension.N Engl J Med,2014,370:1393-1401.
- [4]O'Riordan W.SYMPLICITY Registry Data Spur Further Debate on Role of Renal Denervation.Washington:American College of Cardiology(ACC),2014.
- [5]孙宁玲,霍勇,王继光,等.难治性高血压诊断治疗中国专家共识.中国介入心脏病学杂志,2013,21:69-74.
- [6]蒋雄京,高润霖.SIMPLICITY HTN3研究后时代:去肾神经术治疗难治性高血压的现状与挑战.中华医学杂志,2014,94:1761-1763.
- [7]Dong H,Jiang X,Liang T,et al.Transradial renal denervation for the treatment of resistant hypertension.J Invasive Cardiol,2014,26:322-327.