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一名儿科患者的新冠后高血压伴高肾素性醛固酮增多症

Post-COVID Hypertension With Hyperreninemic Hyperaldosteronism in a Pediatric Patient.

作者信息

Shi Vivian, Trinka Teresa, Faizan Mohammed

机构信息

Department of Pediatrics Hasbro Children's Hospital Providence Rhode Island USA.

Warren Alpert Medical School of Brown University Providence Rhode Island USA.

出版信息

Clin Case Rep. 2025 Jan 14;13(1):e70119. doi: 10.1002/ccr3.70119. eCollection 2025 Jan.

DOI:10.1002/ccr3.70119
PMID:39810992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11732258/
Abstract

COVID-19 infection may predispose patients to long-term renovascular complications. Early recognition and management are crucial for optimal outcomes. This case report underscores the importance of thorough follow-up care for children recovering from COVID-19, with a focus on monitoring blood pressure and renal function to mitigate long-term renovascular disease.

摘要

新冠病毒感染可能使患者易患长期肾血管并发症。早期识别和管理对于实现最佳治疗效果至关重要。本病例报告强调了对新冠康复儿童进行全面随访护理的重要性，重点是监测血压和肾功能，以减轻长期肾血管疾病。

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本文引用的文献

1
Post-COVID-19 Sequelae in Children.儿童新冠后遗症(post-COVID-19 Sequelae in Children)
Indian J Pediatr. 2023 Jun;90(6):605-611. doi: 10.1007/s12098-023-04473-4. Epub 2023 Mar 8.
2
Severe Acute Respiratory Syndrome Coronavirus 2 Seroprevalence and Reported Coronavirus Disease 2019 Cases in US Children, August 2020-May 2021.2020年8月至2021年5月美国儿童严重急性呼吸综合征冠状病毒2血清流行率及报告的2019冠状病毒病病例
Open Forum Infect Dis. 2022 Jan 30;9(3):ofac044. doi: 10.1093/ofid/ofac044. eCollection 2022 Mar.
3
Post-COVID Syndrome: Incidence, Clinical Spectrum, and Challenges for Primary Healthcare Professionals.新冠后综合征：发生率、临床谱及对基层医疗专业人员的挑战。
Arch Med Res. 2021 Aug;52(6):575-581. doi: 10.1016/j.arcmed.2021.03.010. Epub 2021 May 4.
4
Rapid Clinical Deterioration With Sepsis and Persistent Hypertension in a Pediatric Patient During Recent COVID-19 Crisis.在近期新冠疫情期间，一名儿科患者因脓毒症和持续性高血压出现快速临床恶化。
Cureus. 2021 Apr 3;13(4):e14281. doi: 10.7759/cureus.14281.
5
Multiorgan impairment in low-risk individuals with post-COVID-19 syndrome: a prospective, community-based study.新冠病毒感染后综合征低危人群的多器官损害：一项前瞻性、基于社区的研究。
BMJ Open. 2021 Mar 30;11(3):e048391. doi: 10.1136/bmjopen-2020-048391.
6
2020 update on the renin-angiotensin-aldosterone system in pediatric kidney disease and its interactions with coronavirus.2020年小儿肾脏疾病中肾素-血管紧张素-醛固酮系统及其与冠状病毒相互作用的最新进展
Pediatr Nephrol. 2021 Jun;36(6):1407-1426. doi: 10.1007/s00467-020-04759-1. Epub 2020 Sep 29.
7
Covid-19: the renin-angiotensin system imbalance hypothesis.Covid-19：肾素-血管紧张素系统失衡假说。
Clin Sci (Lond). 2020 Jun 12;134(11):1259-1264. doi: 10.1042/CS20200492.
8
Nasal Gene Expression of Angiotensin-Converting Enzyme 2 in Children and Adults.儿童和成人鼻内血管紧张素转换酶 2 的基因表达。
JAMA. 2020 Jun 16;323(23):2427-2429. doi: 10.1001/jama.2020.8707.
9
Obesity is Associated with Higher Blood Pressure and Higher Levels of Angiotensin II but Lower Angiotensin-(1-7) in Adolescents Born Preterm.肥胖与青少年期早产儿的高血压和血管紧张素 II 水平升高有关，但血管紧张素-(1-7)水平降低。
J Pediatr. 2019 Feb;205:55-60.e1. doi: 10.1016/j.jpeds.2018.09.058. Epub 2018 Nov 5.