Ilivitzki Anat, Glozman Luda, Lopez Alfonso Rebeca, Ofer Amos, Beck Razi Nira, Rotman Shapira Mika
Department of Diagnostic Imaging, Rambam Health Care Center, 38 Haag Str, Haifa, Israel.
Bruce Rappaport Faculty of Medicine, Technion Institute of Technology, Haifa, Israel.
J Clin Ultrasound. 2017 Jun;45(5):282-292. doi: 10.1002/jcu.22467. Epub 2017 Mar 28.
Hypertension in children affects 2-5% of the pediatric population. Identifying secondary causes of hypertension is crucial, as some of these entities may be treatable. Renovascular hypertension accounts for 5-10% of the secondary causes of hypertension in children and is mainly related to fibromuscular dysplasia and neurofibromatosis type 1. Ultrasonographic evaluation of the kidneys, including Doppler interrogation, is the recommended primary screening tool. A comprehensive study of the upper abdomen and retroperitoneum allows for identification of additional underlying etiologies. The purpose of this review is to emphasize the different causes of renovascular hypertension in children one can diagnose during the initial ultrasonographic evaluation. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45:282-292, 2017.
儿童高血压影响2%至5%的儿科人群。识别高血压的继发性病因至关重要，因为其中一些病因是可以治疗的。肾血管性高血压占儿童继发性高血压病因的5%至10%，主要与纤维肌性发育异常和1型神经纤维瘤病有关。肾脏的超声评估，包括多普勒检查，是推荐的主要筛查工具。对上腹部和腹膜后的全面检查有助于识别其他潜在病因。本综述的目的是强调在初次超声评估期间可诊断出的儿童肾血管性高血压的不同病因。©2016威利期刊公司。《临床超声杂志》45:282 - 292，2017年。
