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肾性高血压患儿的高血压急症(作者译)

[Hypertensive emergencies in children with renal hypertension (author's transl)].

作者信息

Bachmann H J, Olbing H, Pistor K

出版信息

Monatsschr Kinderheilkd (1902). 1979 Feb;127(2):64-7.

PMID:763242
Abstract

Hypertensive emergencies of 10 children with renal hypertension were analysed. Cause of renal disease are chronic renal failure in three, acute renal failure in three, hemolytic uremic syndrome in two, acute post streptococcal glomerulonephritis in one, and renal arterial stenosis in a further patient. Therapy should be started early in the course of the hypertensive emergency, first symptoms are headache and vomiting. Drug of first choice is diazoxide (3-5-(8)mg/kg i.v.). Three patients developed transitory hyperglycemia after repeated injections of diazoxide.

摘要

对10例肾性高血压患儿的高血压急症进行了分析。肾脏疾病的病因包括3例慢性肾衰竭、3例急性肾衰竭、2例溶血性尿毒症综合征、1例急性链球菌感染后肾小球肾炎以及另外1例肾动脉狭窄。应在高血压急症病程早期开始治疗,首发症状为头痛和呕吐。首选药物是二氮嗪(静脉注射3 - 5 -(8)mg/kg)。3例患者在反复注射二氮嗪后出现短暂性高血糖。

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