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首页> 外文期刊>Psychosomatics >Secondary mania as a possible neuropsychiatric complication of dengue fever.
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Secondary mania as a possible neuropsychiatric complication of dengue fever.

机译：继发躁狂症作为登革热的可能神经精神复杂。

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摘要

This case represents an individual with accelerating hypertension and declining kidney function associated with atherosclerotic renal artery stenosis. Key features include loss of GFR (reaching stage V CKD) during intensified antihypertensive drug therapy including agents that block the renin-angiotensin system and failure to appreciate the extent to which moderate renal artery stenosis was affecting his better kidney. Interpretation of duplex ultrasound studies was complicated by a discrepancy between near-normal peak systolic velocities and markedly abnormal segmental arterial waveforms. It was essential to recognize that both kidneys were abnormal and focus on recovery of perfusion to the better of these kidneys. Successful revascularization of one kidney allowed major improvement in GFR and BP control.
机译：这种情况代表了具有加速高血压和与动脉粥样硬化肾动脉狭窄相关的肾功能下降的个体。 关键特征包括在强化抗高血压药物治疗期间GFR（达到阶段V CKD）的丧失，包括阻断肾素 - 血管紧张素系统的药剂，并且未能理解中度肾动脉狭窄影响他更好的肾脏的程度。 通过近常正常峰收缩速度和明显异常的节段性动脉波形之间的差异，对双相超声研究的解释是复杂的。 必须认识到，两种肾脏都异常，并专注于灌注恢复到这些肾脏的更好。 一个肾脏成功的血运重建允许GFR和BP控制的重大改善。

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