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儿童肾血管性高血压诊断和治疗进展

Recent advances in the diagnosis and management of renovascular hypertension in children
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摘要 肾血管性高血压(RVH)作为一种不常见的儿童继发性高血压,其病因、诊断、治疗等方面仍有问题等待解决。虽然有治愈的可能性,但也可能造成儿童严重的心、肾功能损伤甚至危及生命。因此必须及时发现并给予干预。临床实践中需要合理规范的诊疗计划,根据患者具体临床情况制定个性化治疗方案,联合应用药物治疗、介入治疗或外科开放手术,以获得最好的治疗效果。该文就儿童RVH的病因、诊断、治疗进展作一综述。 As an uncommon secondary hypertension in children,renovascular hypertension(RVH) still has many issues to be clarified and solved,which include the etiology,diagnosis,treatment and other aspects of RVH.RVH is potentially curable,but it can probably cause severe damages of heart and kidney and even threat patient’s life.Therefore,it is extremely important to timely detect these complications and to adopt necessary interventions.In clinical practice,an individualized,reasonable and standardized scheme for diagnosis and treatment of RVH is indispensable,which should be formulated based on the specific clinical situation of patients.Combination use of medication,different interventional methods and surgeries should be taken into consideration so as to achieve the best therapeutic effect.This paper aims to make a comprehensive review about the etiology,diagnosis,treatment and other aspects of RVH in children.
作者 郭聚龙 郭建明 郭连瑞 GUO Julong;GUO Jianming;GUO Lianrui(Department of Vascular Surgery,Xuanwu Hospitalf Capital Medical University,Beijing 100053,China)
出处 《介入放射学杂志》 CSCD 北大核心 2021年第4期418-422,共5页 Journal of Interventional Radiology
关键词 肾血管性高血压 儿童 诊断 治疗 renovascular hypertension child diagnosis treatment
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