[Perioperative hypotensive therapy of patients with chronic renal insufficiency]

Overall 281 patients with arterial hypertension (AH) and renal insufficiency were examined, who had been operated on for renal diseases and those of the urinary tract. It is ascertained that patients with similar degree of AH can have both hyperkinetic and hypokinetic type of circulation. It is shown that most patients do not receive regular antihypertensive therapy before their admission into the hospital and are in want of its institution during the process of the preoperative preparation. Variants are proposed of prescription of hypotensive drugs with special reference to the type of circulation in the patient and to the chosen method of anesthesia. The conclusion in that a rational selection of antihypertensive therapy and optimum method of anesthesia ensure stability of hemodynamics in the perioperative period.