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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Perinatal renal ischemia resulting in hypertensive cardiomyopathy.
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Perinatal renal ischemia resulting in hypertensive cardiomyopathy.

机译:围产期肾脏缺血导致高血压性心肌病。

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摘要

Three neonates presented with malignant hypertension during the first week of life; 2 of them had congestive heart failure. Although none had indwelling umbilical artery catheters, unilateral renovascular lesions were diagnosed by nuclear perfusion scans. Angiotensin-converting enzyme inhibitor therapy produced rapid recovery. Hypertension must be included in the differential diagnosis of infants presenting with congestive heart failure and acidosis. Ultrasonography is not sensitive enough to exclude renovascular lesions. We emphasize the importance of early diagnosis and treatment.
机译:三名新生儿在生命的第一周出现了恶性高血压。其中2例患有充血性心力衰竭。尽管没有人留有脐动脉导管,但通过核灌注扫描可诊断出单侧肾血管病变。血管紧张素转换酶抑制剂治疗可迅速恢复。在患有充血性心力衰竭和酸中毒的婴儿的鉴别诊断中必须包括高血压。超声检查不够灵敏,无法排除肾血管病变。我们强调早期诊断和治疗的重要性。

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