Olgun Gokhan, John Eunice
Department of Pediatric Critical Care Medicine, University of Chicago, Chicago, Illinois, United States.
Department of Pediatric Nephrology, University of Illinois at Chicago, Illinois, United States.
J Pediatr Intensive Care. 2016 Jun;5(2):50-58. doi: 10.1055/s-0035-1564796. Epub 2015 Oct 26.
Hypertension in the pediatric intensive care unit (PICU) is common and it contributes to the overall morbidity and mortality. Patients may present with hypertensive emergencies or hypertension can manifest itself later in PICU course. Although hypertension can be seen in most patients during hospitalization, patients with some specific diseases and conditions are more prone to hypertension. Hypertension should be recognized promptly and treated accordingly. Different pathophysiologic mechanisms can be responsible for the hypertension and management differs based on the underlying etiology. Any patient with a hypertensive emergency must be admitted to PICU, and treatment and diagnostic workup should be initiated immediately.
小儿重症监护病房（PICU）中的高血压很常见，它会导致总体发病率和死亡率。患者可能会出现高血压急症，或者高血压可能在PICU病程后期显现出来。虽然大多数患者在住院期间都会出现高血压，但患有某些特定疾病和病症的患者更容易患高血压。应及时识别高血压并进行相应治疗。不同的病理生理机制可能导致高血压，治疗方法因潜在病因而异。任何患有高血压急症的患者都必须入住PICU，并应立即开始治疗和诊断检查。
