本文仅介绍手术等方法能治愈的继发性高血压的诊断与治疗。一、肾血管性高血压(RVH) 肾血管性高血压在可治愈的高血压中占比例最大。近几年来其数量有所增加。本病的原因多为肌层纤维增生、动脉硬化。肾血管性高血压有一例肾动脉狭窄(2K-1C)者及两侧肾动脉狭窄(2K-2C)者。而两者均可引起高血压,但其发病及维持高血压的机制不同,其治疗原则亦异,必须区别考虑。2K—1C型系因肾动脉狭窄侧肾脏的肾素分泌增加,肾素—血管紧张素—醛固酮(RAA)系统功能亢进。而2K—2C型则因肾功能降低,水、钠排泄障碍,使体液量增加,因体液量增多而抑制了由于肾缺血引起的肾素分泌增多, This article describes only surgery and other methods can cure secondary hypertension diagnosis and treatment. First, renovascular hypertension (RVH) renovascular hypertension accounts for the largest proportion of curable hypertension. Its number has increased in recent years. The reasons for the disease mostly myofibrosis, arteriosclerosis. One case of renovascular hypertension has renal artery stenosis (2K-1C) and bilateral renal artery stenosis (2K-2C). Both can cause high blood pressure, but the pathogenesis and the mechanism of maintaining hypertension are different, and the principles of their treatment are also different and must be considered separately. In the 2K-1C type, the renin-angiotensin-aldosterone (RAA) system is hyperactive due to increased renin secretion in the renal artery stenosis side. The 2K-2C type due to decreased renal function, water and sodium excretion disorders, so that the amount of fluid increased due to increased body fluid volume inhibited due to renal ischemia caused by increased renin secretion,