Malignant hypertension was diagnosed should take active antihypertensive treatment immediately, to prevent the occurrence or progression of severe complications of hypertensive encephalopathy, cerebral hemorrhage, acute pulmonary edema and renal failure, the blood pressure stability and then related laboratory tests to determine the etiology of malignant hypertension. With the decrease of blood pressure, renal tubular necrosis can be absorbed, and the pathological changes of kidney can be partly reversed.
1 malignant hypertension renal damage reasonable step-down
2 renal replacement therapy for renal damage in patients with malignant hypertension
Renal replacement therapy should be performed in patients with renal hypertension complicated with uremia. The MHPT agreement of renal replacement therapy selection is: within 1 years, according to the patient's clinical condition and local medical condition selection of peritoneal dialysis or hemodialysis, peritoneal dialysis is the preferred treatment but. If after 1 years of active treatment, patients still can not get rid of dialysis, kidney transplantation can be considered.
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