MacNeill Emily, Pade Kathryn H.
Associate Professor of Emergency Medicine, Carolinas Medical Center, Atrium Health, Charlotte, NC
Pediatric Emergency Medicine Ultrasound Fellow, Department of Emergency Medicine, Stanford University School of Medicine, Lucile Packard Children’s Hospital, Palo Alto, CA
Pediatr Emerg Med Pract. 2019 Mar 1;16(3):e1-e2.
Pediatric hypertension is increasing in incidence, but remains greatly underrecognized, despite its severe long-term health consequences. Often discovered as incidental to another complaint, pediatric patients with hypertension may be asymptomatic but with markedly abnormal blood pressure, or they may have a true hypertensive emergency. This issue provides strategies to ensure that the child with asymptomatic hypertension receives appropriate screening and referrals, and outlines a systematic approach for the evaluation and treatment of the critically ill child who presents with symptoms of severe hypertension. [Points & Pearls is a digest of Pediatric Emergency Medicine Practice.].
儿童高血压的发病率正在上升，尽管其会带来严重的长期健康后果，但仍远未得到充分认识。高血压儿童患者常因其他主诉而偶然被发现，可能无症状但血压明显异常，也可能出现真正的高血压急症。本期提供了一些策略，以确保无症状高血压儿童得到适当的筛查和转诊，并概述了对出现严重高血压症状的危重症儿童进行评估和治疗的系统方法。[要点与精华是《儿科急诊医学实践》的摘要。]
