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许多肾脏疾病都可引起高血压,而持久的高血压又可引起肾脏损害。高血压引起的肾损害主要是肾内小动脉硬化,它又可分为良性和恶性两种。在病理变化方面,首先累及肾内细小动脉,然后肾小管和肾小球受到损害。一、良性肾小动脉硬化进展缓慢的高血压,皆可发展为良性肾小动脉硬化。它多见于中老年人。根据一组尸解资料统计,长期患高血压病(不论是原发的或继发的)约90％患者均可见到肾内小动脉硬化,几乎所有肾内小动脉都受到损害,尤其是入球小动脉、小叶间动脉及弓形动脉更为严重。而出球小动脉几乎不发生病变(糖尿病肾损害患者,出球小动脉亦受累,可以此来鉴别)。病
Many kidney diseases can cause high blood pressure, and persistent high blood pressure can cause kidney damage. Kidney damage caused by hypertension is mainly renal arteriosclerosis, which can be divided into two kinds of benign and malignant. In the pathological changes, the first involving the renal small arteries, and tubules and glomeruli were damaged. First, the slow progress of benign renal arteriosclerosis hypertension, can develop benign renal arteriosclerosis. It is more common in the elderly. According to a group of autopsy data, renal arteriosclerosis is seen in about 90% of patients with long-term hypertension (either primary or secondary), with almost all of the renal arterioles compromised, especially into Arterioles, interlobular arteries and arcuate arteries are more serious. The articular arterioles almost no lesions (diabetic patients with renal damage, the articular artery also involved, you can identify). disease