Schärer K
Division of Pediatric Nephrology, Children's Hospital, University of Heidelberg, Federal Republic of Germany.
Pediatr Nephrol. 1987 Jan;1(1):50-8. doi: 10.1007/BF00866885.
Current issues in paediatric hypertension are reviewed in the light of an international symposium held in Heidelberg, Federal Republic of Germany, in October 1985. Primary (essential) hypertension has emerged as an important domain of epidemiologists, involving genetics, pathophysiology and clinical paediatrics. Understanding of secondary hypertension has increased, largely as a consequence of improved survival of children with progressive kidney disease. Methodological procedures, normal standards and determinants of blood pressure and the definition and incidence of hypertension are discussed, as well as new developments in antihypertensive treatment, such as the use of angiotensin-converting enzyme inhibitors and calcium blocking agents. Finally, some proposals for future research topics in the field of childhood hypertension are given. The Appendix contains recommendations for the measurement of blood pressure and for the diagnosis and treatment of hypertension in children and adolescents.
根据1985年10月在德意志联邦共和国海德堡召开的一次国际专题研讨会，对小儿高血压的当前问题进行了综述。原发性（特发性）高血压已成为流行病学家关注的一个重要领域，涉及遗传学、病理生理学和临床儿科学。对继发性高血压的认识有所增加，这主要是由于患有进行性肾病的儿童存活率提高所致。文中讨论了血压的测量方法、正常标准和决定因素以及高血压的定义和发病率，还介绍了抗高血压治疗的新进展，如使用血管紧张素转换酶抑制剂和钙阻滞剂。最后，给出了一些关于儿童高血压领域未来研究课题的建议。附录包含了儿童和青少年血压测量以及高血压诊断和治疗的建议。
