肾性高血压是肾血管和肾实质性高血压的总称,系继发性高血压的常见类型。Maxwell 等报告2442例高血压病人中,880例有肾血管病变,335例为肾实质疾病,几乎占50%。一、肾血管性高血压肾血管性高血压是由肾动脉阻塞性病变所致。国人中最常见的病因是大动脉炎(40.5～66.6%),其次为纤维肌性增生(3.8～15.5%)和动脉粥样硬化(4～13.5%)。国外报告的肾血管性高血压主要由动脉粥 Renal hypertension is the general term for renal blood vessels and renal parenchymal hypertension, a common type of secondary hypertension. Maxwell and other reports of 2442 cases of hypertensive patients, 880 cases of renal vascular disease, 335 cases of renal parenchymal disease, accounting for almost 50%. First, renal vascular hypertension Renal vascular hypertension is caused by obstructive renal disease. The most common cause of the disease is aortic arteritis (40.5-66.6%), followed by fibromuscular hyperplasia (3.8-15.5%) and atherosclerosis (4- 13.5%). Foreign reports of renal vascular hypertension mainly by atherosclerosis