| Item type |
デフォルトアイテムタイプ（フル）(1) |
| 公開日 |
2014-07-18 |
| タイトル |
|
|
タイトル |
[原著]右萎縮腎,左腎動脈狭窄による高血圧症の1例 |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
A case of hypertension with right sided contracted kidney and left sided renal artery stenosis |
|
言語 |
en |
| 作成者 |
大浦, 孝
与那嶺, 毅
佐久本, 政紀
具志堅, 政道
伊礼, 基治
三村, 悟郎
知名, 孝明
小山, 雄三
大澤, 炯
Ooura, Takashi
Yonamine, Tsuyoshi
Sakumoto, Seiki
Gushiken, Masamichi
Irei, Motoharu
Mimura, Goro
China, Takaaki
Koyama, Yuzo
Osawa, Akira
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| アクセス権 |
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|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
ja |
|
権利情報 |
琉球医学会 |
| 内容記述 |
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|
内容記述タイプ |
Other |
|
内容記述 |
We reported a case of hypertension and discussed it's etiology. A 52-year-old female was admitted to our clinic for closer examination of hypertension discovered 7 years ago during a mass-examination. Thereafter she took drugs occationally but complained of occational headache and palpitation. She noticed facial edema after overworking but there were no episodes of urinary tract infection. In physical examination, her B.P. was 190/130mmHg, face was slightly puffy and cardiac dullness was enlarged, but there was no abdominal bruit and no edema in legs. In laboratory data, proteinuria was negative but there was many WBC in the urinary sediment. Renal function was almost normal; psp in 15min. was 25.5%; creatinine clearance was 101.2ml/min. Peripheral plasma renm activity was as low as 0.35ng/ml/hr and did not responded to furosemide load and standing position, plasma aldosterone was slightly elevated at 185.5pg/ml and 3 fractions of urinary catecholamine were within normal limits. IVP revealed a right sided contracted kidney, dilatation of the pelvis and deformities of the calyx, but the left sided kidney was almost normal. Angiography revealed left sided renal artery stenoses but no stenosis of the right sided renal artery but the right sided main renal artery and peripheral arteries were very narrow. For examination of the cause of the right sided contracted kidney, we performed a cystography, which revealed a right sided vesicoureteric reflux (VUR). We then suspected this was the cause of right sided contracted kidney. Indivisual renal function test was done but provided unreasonable data, so we considered this an improper test in this case. We performed angiotensin II analogue infusion test for differential diagnosis of hypertension. There was no response to this test and we speculated there was no role of reninangiotensin system causing this hypertension. We began treatment with diuretica, and diuresis occured and facial edema disappeared. B.P. was controlled at a good level. |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
論文 |
| 出版者 |
|
|
出版者 |
琉球大学保健学部 |
|
言語 |
ja |
| 出版者 |
|
|
出版者 |
College of Health Sciences, University of the Ryukyus |
|
言語 |
en |
| 言語 |
|
|
言語 |
jpn |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0285-9270 |
| 収録物識別子 |
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|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00250763 |
| 収録物名 |
|
|
収録物名 |
琉球大学保健学医学雑誌＝Ryukyu University Journal of Health Sciences and Medicine |
|
言語 |
ja |
| 書誌情報 |
巻 3,
号 1,
p. 36-44
|
v3p36.pdf
