Kaneko K, Shimazaki S, Ino T, Yabuta K, Nakazawa T, Takahashi H, Kaneko K
Department of Pediatrics, Juntendo University School of Medicine, Tokyo, Japan.
Nephron. 1994;68(2):252-5. doi: 10.1159/000188266.
We report a 2-year-old boy with renovascular hypertension caused by stenosis of the left renal artery that was successfully treated by percutaneous transluminal angioplasty (PTA). He initially presented with severe hyponatremia, hypokalemia, polyuria, transient proteinuria and weight loss. This phenomenon is known to occur in patients with renovascular and malignant hypertension, called hyponatremia hypertensive syndrome, but was thought to be rare in children. Renovascular hypertension should be considered as a cause of hyponatremia in children. In addition, PTA is an appropriate treatment even in very young children with renovascular hypertension.
我们报告了一名2岁男孩，因左肾动脉狭窄导致肾血管性高血压，经皮腔内血管成形术（PTA）成功治疗。他最初表现为严重低钠血症、低钾血症、多尿、短暂蛋白尿和体重减轻。这种现象在肾血管性和恶性高血压患者中已知会出现，称为低钠血症高血压综合征，但在儿童中被认为很少见。肾血管性高血压应被视为儿童低钠血症的一个原因。此外，即使是非常年幼的肾血管性高血压儿童，PTA也是一种合适的治疗方法。
