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新生儿高血压与心力衰竭。

Neonatal hypertension and cardiac failure.

作者信息

Hawkins K C, Watson A R, Rutter N

机构信息

Neonatal Unit, City Hospital, NHS Trust, Nottingham, UK.

出版信息

Eur J Pediatr. 1995 Feb;154(2):148-9. doi: 10.1007/BF01991920.

DOI:10.1007/BF01991920
PMID:7720745
Abstract

Two newborn infants developed cardiac failure due to severe hypertension which was recognised as the heart failure was treated. Renal abnormalities were found in both infants who are normotensive off treatment at 18 months follow up. The finding of hypertension rather than hypotension in the presence of cardiac failure and the apparent absence of a cardiac abnormality should prompt a search for a renal or renovascular cause.

摘要

两名新生儿因严重高血压而出现心力衰竭,在治疗心力衰竭时发现了高血压。两名婴儿均发现有肾脏异常,在18个月的随访中,他们在未接受治疗时血压正常。在存在心力衰竭且明显没有心脏异常的情况下发现高血压而非低血压,应促使寻找肾脏或肾血管方面的病因。

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Hypertension secondary to renal hypoplasia presenting as acute heart failure in a newborn.肾发育不全继发的高血压在新生儿中表现为急性心力衰竭。
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本文引用的文献

1
Captopril-induced functional renal insufficiency in patients with bilateral renal-artery stenoses or renal-artery stenosis in a solitary kidney.卡托普利诱发双侧肾动脉狭窄或单肾肾动脉狭窄患者的功能性肾功能不全。
N Engl J Med. 1983 Feb 17;308(7):373-6. doi: 10.1056/NEJM198302173080706.
2
The hypertensive neonate.
Clin Perinatol. 1988 Sep;15(3):567-85.
3
Longitudinal study of blood pressure during the 1st year of life.生命第一年血压的纵向研究。
Eur J Pediatr. 1990 Feb;149(5):318-20. doi: 10.1007/BF02171556.
Cardiovasc J Afr. 2013 Apr;24(3):72-5. doi: 10.5830/CVJA-2013-003.
4
Emergency management of hypertension in children.儿童高血压的急诊处理
Int J Nephrol. 2012;2012:420247. doi: 10.1155/2012/420247. Epub 2012 Apr 19.
5
Unmasking of neonatal renovascular hypertension by milrinone used for cardiac dysfunction.米力农用于治疗心脏功能不全时引发的新生儿肾血管性高血压
Pediatr Cardiol. 2011 Oct;32(7):998-1000. doi: 10.1007/s00246-011-0027-4. Epub 2011 Jun 9.
6
Hypertension in infancy: diagnosis, management and outcome.婴儿期高血压:诊断、治疗与预后。
Pediatr Nephrol. 2012 Jan;27(1):17-32. doi: 10.1007/s00467-010-1755-z. Epub 2011 Jan 22.
7
Hypertension and multicystic dysplastic kidney.高血压与多囊性发育不良肾。
Pediatr Nephrol. 2003 Oct;18(10):1077. doi: 10.1007/s00467-003-1248-4. Epub 2003 Aug 8.
8
Dexamethasone associated systemic hypertension in low birth weight babies with chronic lung disease.
Eur J Pediatr. 1996 Jul;155(7):573-5. doi: 10.1007/BF01957907.
9
Renal artery stenosis in infants: long-term medical treatment before surgery.婴儿肾动脉狭窄:手术前的长期药物治疗
Pediatr Nephrol. 1996 Apr;10(2):147-51. doi: 10.1007/BF00862057.