摘要
肾血管性高血压占儿童高血压的5%~10%,药物往往难以控制,可导致严重临床并发症.然而,此类高血压具有潜在治愈可能,因此,临床早期识别与规范化治疗不仅可有效控制高血压,还可同时保障肾脏血供及肾功能,对于儿童的长远期预后具有重要意义.现就儿童肾血管性高血压的相关知识,包括病因、发病机制、诊断方法及药物、介入和外科治疗进行综述.
Renovascular hypertension accounts for 5%-10%of hypertension in children,which is usually difficult to control by medicine and leads to severe clinical complications.However,it is potentially amenable to curative treatment.Clinical early recognition and proper treatment might not only effectively control hypertension,but also preserve renal blood supply and renal function,which is of great significance for the long-term prognosis in children.In this review,the author provide current knowledge of renovascular hypertension in children,including its cause,pathogenesis,diagnostic method,and medical,interventional,and surgical treatment.
作者
赵鑫
吴琳
Zhao Xin;Wu Lin(Cardiovascular Center,Children′s Hospital of Fudan University,Shanghai 201102,China)
出处
《中华实用儿科临床杂志》
CSCD
北大核心
2019年第22期1757-1760,共4页
Chinese Journal of Applied Clinical Pediatrics
基金
国家重点研发项目(2016YFC1000500).
关键词
肾血管性高血压
肾动脉狭窄
经皮血管成形术
血管重建
儿童
Renovascular hypertension
Renal artery stenosis
Percutaneous transluminal angiography
Revascularization
Child
