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烧伤儿童的高血压

Hypertension in children with burns.

作者信息

Falkner B, Roven S, DeClement F A, Bendlin A

出版信息

J Trauma. 1978 Mar;18(3):213-7. doi: 10.1097/00005373-197803000-00011.

DOI:10.1097/00005373-197803000-00011
PMID:642048
Abstract

Hypertension has been observed to occur frequently in children with burns. In a series of children admitted to the St. Agnes Burn Treatment Center, sustained systolic and diastolic hypertension occurred in 31.5%, and 57.4% of the children demonstrated episodic periods of hypertension which were unsustained. The only clinical finding which significantly correlated with the hypertension was the presence of tachycardia, which persisted into the late healing phase of the thermal injury. Hypertension was more prevalent at younger ages. However, there was no other correlation of the development of hypertension with sex, race, or extent of thermal injury. The development of hypertension in itself did not worsen the prognosis for survival in the cases presented in this series. Possible pathogenic mechanisms which result in hypertension (elevated catecholamines, norepinephrine, renin secretion) are discussed.

摘要

人们观察到烧伤儿童中高血压频繁发生。在一系列入住圣艾格尼丝烧伤治疗中心的儿童中,31.5%的儿童出现持续性收缩压和舒张压升高,57.4%的儿童出现间歇性高血压,这种高血压并非持续性的。与高血压显著相关的唯一临床发现是心动过速,这种情况一直持续到热损伤的愈合后期。高血压在较年轻年龄段更为普遍。然而,高血压的发生与性别、种族或热损伤程度没有其他关联。在本系列病例中,高血压本身的发生并没有使生存预后恶化。文中讨论了导致高血压(儿茶酚胺、去甲肾上腺素、肾素分泌升高)的可能致病机制。

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Hypertension in children with burns.烧伤儿童的高血压
J Trauma. 1978 Mar;18(3):213-7. doi: 10.1097/00005373-197803000-00011.
2
Plasma renin and occurrence of hypertension in children with burn injuries.烧伤患儿血浆肾素水平与高血压的发生
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Clinical characteristics of hypertension in burned children.烧伤儿童高血压的临床特征
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Sixth National Burn Seminar. Hypertension in children with burns.第六届全国烧伤研讨会。烧伤患儿的高血压
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Transl Med UniSa. 2017 Jul 1;16:1-10. eCollection 2017 Jan.
2
Large burns - transatlantic view.大面积烧伤——跨大西洋视角。
J R Soc Med. 1982;75(Suppl 1):26-32.
3
At the bottom of the differential diagnosis list: unusual causes of pediatric hypertension.鉴别诊断清单的末尾:儿童高血压的罕见病因。
Pediatr Nephrol. 2009 Nov;24(11):2137-46. doi: 10.1007/s00467-008-0744-y. Epub 2008 Mar 5.
4
Clinical characteristics of hypertension in burned children.烧伤儿童高血压的临床特征
Ann Surg. 1980 Apr;191(4):473-8. doi: 10.1097/00000658-198004000-00014.
5
A pathophysiologic study of the hypertension associated with burn injury in children.儿童烧伤后高血压的病理生理学研究
Ann Surg. 1981 Jun;193(6):817-24. doi: 10.1097/00000658-198106000-00018.
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Evaluation of I.V. labetalol for treatment of posttraumatic hyperdynamic state.静脉注射拉贝洛尔治疗创伤后高动力状态的评估。
Intensive Care Med. 1984;10(3):133-7. doi: 10.1007/BF00265802.