Lanning P, Uhari M
Eur J Pediatr. 1979 Nov;132(3):147-54. doi: 10.1007/BF00442430.
The value of radiological examinations in hypertension was analyzed in a series of 44 children. An i.v. urography had been performed in 43 cases with a pathological finding in 19 (44%). Renal angiography, employed in 19 cases, revealed abnormal findings in 12 (63%) patients. Micturating urethrocystography performed in 16 children gave no additional important information. The only complication noted was thrombosis of the femoral artery subsequent to renal angiography in one child less than one year of age. The diagnosis of hypertension based mainly on the i.v. urography in 12 cases but the renal angiography gave additional important information in 6 children. One child with obstructive hydronephrosis was also found to have a renal artery stenosis at renal arteriography. Based on these results, and particularly because secondary hypertension may frequently be treated surgically, we consider extensive radiological investigation with renal angiography is mandatory before receiving a final diagnosis of essential hypertension, and before starting long-term treatment.
对44例儿童进行了分析，以探讨放射学检查在高血压诊断中的价值。43例患儿接受了静脉肾盂造影，其中19例（44%）有病理发现。19例患儿进行了肾血管造影，12例（63%）显示异常。16例儿童进行了排尿性膀胱尿道造影，但未提供其他重要信息。唯一观察到的并发症是1例不满1岁的儿童在肾血管造影后发生股动脉血栓形成。12例高血压诊断主要基于静脉肾盂造影，但肾血管造影为6例儿童提供了额外的重要信息。1例梗阻性肾积水患儿在肾动脉造影时还发现有肾动脉狭窄。基于这些结果，特别是由于继发性高血压常常可以通过手术治疗，我们认为在最终诊断为原发性高血压之前以及开始长期治疗之前，必须进行包括肾血管造影在内的全面放射学检查。
