继发性高血压（Secondary hypertension）.docVIP

继发性高血压（Secondary hypertension） Secondary hypertension (Secondary, Hypertension, SH) is the cause of hypertension. When find out the cause and effectively remove or control the cause, as a secondary symptom of hypertension can be cured or alleviated; secondary hypertension accounted for about 5-10% in hypertension; common disease because of renal parenchyma, endocrine and renal vascular hypertension and sleep apnea syndrome caused by psychological problems of hypertension often can see. Previously, because of lack of awareness, the diagnosis of fewer cases. Secondary hypertension is associated with a higher risk of cardiovascular disease, stroke, proteinuria, and renal insufficiency, and the cause of the disease is often neglected, resulting in delayed diagnosis. Improve the understanding of secondary hypertension, timely and clear etiology, and actively for the cause of treatment, will greatly reduce the high blood pressure and complications caused by high mortality and disability. In recent years, the identification of secondary hypertension has become an important aspect of the diagnosis and treatment of hypertension. Diagnosis and treatment of common types of secondary hypertension Renal parenchymal hypertension Because of primary or secondary renal parenchymal disease, is one of the most common secondary hypertension, the blood pressure is often intractable, is a major cause of young people suffering from acute hypertension; renal disease essence often include acute and chronic glomerulonephritis, polycystic kidney disease; chronic renal tubulointerstitial lesions (chronic pyelonephritis, obstructive nephropathy); metabolic diseases of kidney damage (gouty nephropathy, diabetic nephropathy); systemic connective tissue disease or kidney damage (lupus nephritis, scleroderma); also in rare hereditary kidney disease (Liddle syndrome), renal tumor (reninoma) [2]. The diagnosis of renal parenchymal hypertension depends on: (1) the history of renal parenchymal diseases