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首页> 美国卫生研究院文献>Journal of Medicine and Life >Diagnosis and complications of renovascular hypertension in children: literature data and clinical observations
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Diagnosis and complications of renovascular hypertension in children: literature data and clinical observations

机译：儿童肾性高血压的诊断和并发症：文献资料和临床观察

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>Introduction:Renovascular hypertension in children is a very rare illness. It occurs as a result of the imbalance between hypotensive and hypertensive systems. Renal ischaemia (95% of the cases) and the shortening of hipotensive factors (5% of the cases) are responsible for the production mechanism of renovascular hypertension in children. In order to make an early diagnosis regarding the renovascular hypertension in all children suffering from renovascular illnesses, blood pressure must be taken correctly and repeatedly.>Materials and methods:This paper is a case study on 19 children with renovascular hypertension, aged between 2 and 15 years old. Most cases were divided into two groups: subjects aged 4-7 years old and subjects aged 8-12 years old. Each group represents 34,2% of all cases. The diagnosis of renovascular hypertension in those 19 children was established after correctly taking the blood pressure and comparing it with the normal values for each age. Hypertension was diagnosed before knowing its cause in 8 neglected cases. The blood pressure was repeatedly taken in the other 11 children suffering from renovascular illnesses and the diagnosis of hypertension was early established when blood pressure values increased. Previously, blood pressure was normal in these 11 cases.>Results :The etiopathogenical diagnosis showed parenchymal diseases in 12 cases - 63,1%. Seven patients suffered from renovascular lesions - 36,9%. Laboratory exams, radiology, imagistic exams, arteriography and scintigraphy were steps taken in order to establish the etiopathogenical diagnosis. These exams showed the next direct causes of renovascular hypertension: bilateral chronic pyelonephritis in 4 cases - 21,4%, hydronephrosis in 3 cases - 16,2%, congenital renal hypoplasia in 2 cases - 10,4% and doubled kidney in 2 cases - 10,4%. The other 8 cases presented acute glomerulonephritis, unilateral renal agenesis, horseshoe kidney, unilateral pyelonephritis, renal artery agenesis, renal trauma, renal abcess and Wilms tumor, one case of each illness - 5,2%. The major complications were: retinopathy, chronic renal failure and stroke.>Conclusions :Laboratory data are just a hint in diagnosing renovascular hypertension. However, radiology, imagistic exams, arteriography and scintigraphy are compulsory in the renourinary status and etiopathogenical diagnosis.
机译：>简介：小儿肾性高血压是一种非常罕见的疾病。它是由于降压系统和高血压系统之间的不平衡而发生的。肾缺血（占病例的95％）和收缩压因子的缩短（占病例的5％）是造成儿童肾血管性高血压的原因。为了早期诊断所有患有肾血管疾病的儿童的肾血管性高血压，必须正确并反复测量血压。>材料和方法：本文是对19例肾血管性血管性疾病儿童的病例研究。高血压，年龄在2至15岁之间。大多数病例分为两组：4-7岁的受试者和8-12岁的受试者。每组占所有病例的34.2％。在正确测量血压并将其与各个年龄段的正常值进行比较之后，才能确定这19名儿童的肾血管性高血压的诊断。在8例被忽略的病例中，先诊断出高血压，然后才知道原因。在其他11名患有肾血管疾病的儿童中重复测量血压，并在血压值升高时及早确定了高血压。以前，这11例患者的血压均正常。>结果：病因诊断显示实质疾病12例，占63.1％。七名肾血管病变患者-36.9％。为了建立病因诊断，采取了实验室检查，放射学，影像学检查，动脉造影和闪烁显像学的步骤。这些检查显示出肾血管性高血压的下一个直接原因：双侧慢性肾盂肾炎4例-21,4％，肾积水3例-16,2％，先天性肾发育不全2例-10,4％和双肾2例-10,4％。其他8例表现为急性肾小球肾炎，单侧肾发育不全，马蹄肾，单侧肾盂肾炎，肾动脉发育不全，肾外伤，肾脓肿和Wilms肿瘤，每种疾病1例-5,2％。主要并发症为：视网膜病变，慢性肾功能衰竭和中风。>结论：实验室数据仅是诊断肾血管性高血压的提示。然而，放射学，影像学检查，动脉造影和闪烁显像术是强制性的泌尿生殖系统状态和病因诊断。

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