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Die Gefäßerkrankungen der Niere

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Nierenkrankheiten

Part of the book series: Handbuch der Inneren Medizin ((510,volume 8 / 0))

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Zusammenfassung

Unter Nephrosklerose wird im deutschen Sprachgebiet die Arteriolosklerose der Niere verstanden. Währenddem die Angelsachsen unter dem Begriff Nephrosklerose sowohl die arteriolosklerotischen als auch die arteriosklerotischen Gefäßveränderungen der Niere einschließen, wird im deutschen Sprachgebiet die Arteriosklerose der Niere nicht dem engeren Begriff der Nephrosklerose untergeordnet. Die Franzosen sprechen von „néphroangiosclérose“. Im Hinblick auf die interessanten Untersuchungen von McCormick(1958) und Imhof(1960) ist es sehr fraglich, ob eine Trennung zwischen Nephrosklerose (Arteriolosklerose der Niere) einerseits und Arteriosklerose der Niere andererseits noch angebracht ist. Diese Autoren konnten zeigen, daß in Fällen mit erfolgreich behandelter maligner Hypertonie die arteriolären Gefäßveränderungen einer Arteriosklerose und subintimalen Fibroplasie der Arteriae interlobares und arcuatae Platz gemacht haben. Die Senkung des arteriellen Blutdruckes war demnach nicht in der Lage, den Gefäßprozeß im arteriellen Gefäßgebiet vollständig zum Stillstand zu bringen. Solche Patienten kamen nach einem längeren zeitlichen Intervall zum Teil auch unter dem Bild der Urämie ad exitum. Der autoptische Befund entsprach einer arteriosklerotischen „Nephrosklerose“. In unseren weiteren Ausführungen halten wir uns an den Begriff: Nephrosklerose = vorwiegend Arteriolosklerose der Niere.

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Hypernatriurese

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Cottier, P. (1944). Die Gefäßerkrankungen der Niere. In: Schwiegk, H., et al. Nierenkrankheiten. Handbuch der Inneren Medizin, vol 8 / 0. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-95038-4_21

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