Lande Marc B, Flynn Joseph T
Pediatric Nephrology, University of Rochester, Rochester, NY, USA.
Pediatr Nephrol. 2009 Oct;24(10):1939-49. doi: 10.1007/s00467-007-0573-4. Epub 2007 Aug 10.
The treatment of hypertension in children and adolescents has been markedly changed in recent years by several factors, including the publication of new consensus recommendations, the obesity epidemic, and the increased availability of information on efficacy and safety of antihypertensive medications in the young. In this review we present an updated approach to the outpatient management of hypertension in the child or adolescent, utilizing representative cases to illustrate important principles as well as possible controversies.
近年来,儿童和青少年高血压的治疗因多种因素而发生了显著变化,这些因素包括新的共识性建议的发布、肥胖症的流行以及有关抗高血压药物在年轻人中的疗效和安全性的信息获取更为便捷。在本综述中,我们提出了一种针对儿童或青少年高血压门诊管理的更新方法,利用典型病例来说明重要原则以及可能存在的争议。