Hemodialysis patients with resistant hypertension in the pathogenesis.docVIP

 PAGE \* MERGEFORMAT 9 Hemodialysis patients with resistant hypertension in the pathogenesis Of: Huang Hongli Sucui Min Wu Liming Lian-Bin Zhou Suling reggae [Abstract] With the development of social economy, lifestyle and environmental changes in the incidence of chronic kidney disease was significantly increased, while the high probability of renal hypertension, and not easy to control, easier long-term sustained hypertension kidney, heart and brain function caused the dramatic deterioration of social and family to bring a heavy burden. In this paper, the incidence of resistant hypertension produce a machine described in the hope of good help control high blood pressure. [Keywords:] Hemodialysis; refractory hypertension Hypertension in hemodialysis patients with high incidence (about 80% [1], its central nervous system and cardiovascular system adverse effects, serious impact on the prognosis and mortality. Good blood pressure control can be extended The survival time of patients and improve their quality of life. In recent years, scholars from various countries on the pathogenesis of hypertension in dialysis patients made extensive research and treatment are summarized below. 1 Renal factors Renal factors: the kidneys to regulate water, electrolyte, blood volume and excretion of metabolites of major organs, renal dysfunction can lead to water and sodium retention and blood volume increases, causing blood pressure. Kidneys also secrete substances pressure and blood pressure . Therefore, the kidney in maintaining blood pressure within the balance of the body plays an important role. Renal proximal cells can synthesize and excretion of renin, renin regulation of blood pressure was through the renin - angiotensin - aldosterone system regulating blood pressure; kidneys also secrete antihypertensive substances, such as renal medullary interstitial cells produce prostaglandin PGA, PGE, etc., they can regulate the distribution of