①顾固性高由压:即应用3种降压药物足量仍不能控制的高血压;
②应用ACEI或ARB后出现的急性肾衰竭;
③进餐性的特功能悲化
①反复发生的肺水肿日不能用心功能不全解释。而可能不能从介人治疗中获益者包括:
①肾脏已明显鉴缩,肾脏长径<7--8cm或彩超显示肾脏阻力指数>0.8;
②忠侧肾脏GFR< lOml/ minC明确的造影剂过镇或胆固都栓塞病史。
总之,在ARAS治疗方式的选择上还有许多悬而未决的问题,需要积累更多长期的RCT研究结果。我们应该积极,慎重地对每个患者进行综合评价,采取个体化治疗措施,
王梅)
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