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高血压有原发性和继发性两大类。后者可因肾脏病、内分泌性疾病、血管病变和颅脑病变所致。对每一例高血压病人,应当进行鉴别诊断,排除继发性病因之后,才能诊断为原发性高血压病。继发性高血压的病因中,有些是可以通过手术根治的。本文仅就肾血管性高血压、嗜铬细胞瘤和原发性醛固酮增多症三种可根治的继发性高血压的诊断问题进行温习。一、肾血管性高血压肾血管性高血压约占高血压患者的1~25%,多数认为是5%或5%以下。
Hypertension has two major categories of primary and secondary. The latter may be due to kidney disease, endocrine disease, vascular disease and brain lesions caused. For each case of hypertensive patients, should be differential diagnosis, excluding secondary causes, can diagnose essential hypertension. Some of the causes of secondary hypertension can be cured by surgery. This article reviews only the diagnosis of three curable secondary hypertension related to renovascular hypertension, pheochromocytoma and primary aldosteronism. First, renal vascular hypertension Renal vascular hypertension accounts for about 1 to 25% of patients with hypertension, most are considered to be 5% or less.