Peco-Antić A, Popović-Rolović M, Kostić M, Kruscić D, Jovanović O, Ivković D
University Children's Hospital, Belgrade.
Srp Arh Celok Lek. 1993 Aug-Dec;121(8-12):149-51.
From March 1982 to March 1992 at the Nephrology Department of Belgrade University Children's Hospital 25 patients (16 females and 9 males, aged from 1.5 to 14 years) were treated for hypertensive emergency. Twenty patients had chronic severe hypertension of whom in 19 it was of renal origin. Five patients had acute hypertension during acute poststreptococcal glomerulonephritis. In 15 patients hypertensive emergency was manifested by neurologic disorders, while in the other patients signs of cardiac failure prevailed. Deterioration of renal function was observed in 9 patients and 2 had sec. haemolytic-uremic syndrome. Three patients died during hypertensive crisis, and the others were successfully treated. The fact that in 50% of patients chronic hypertension could not be revealed until the occurrence of hypertensive emergency, suggests the need of its early detection during systemic check-up.
1982年3月至1992年3月期间，贝尔格莱德大学儿童医院肾内科对25例（16例女性，9例男性，年龄1.5至14岁）高血压急症患者进行了治疗。20例患者患有慢性重度高血压，其中19例为肾源性。5例患者在急性链球菌感染后肾小球肾炎期间出现急性高血压。15例患者的高血压急症表现为神经系统疾病，而其他患者则以心力衰竭症状为主。9例患者出现肾功能恶化，2例患有继发性溶血性尿毒症综合征。3例患者在高血压危象期间死亡，其他患者均成功治愈。50%的患者直到高血压急症发生时才被发现患有慢性高血压，这一事实表明有必要在全身检查期间尽早发现慢性高血压。
