Cheng K F, Tsau Y K, Tsai W S, Chen C H
Department of Pediatrics, National Taiwan University Hospital, Taipei, R.O.C.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1993 Nov-Dec;34(6):467-73.
A three year-old boy was found incidentally to have severe hypertension (around 200/110 mmHg) when he was brought to This Hospital's Emergency Department because of his abdominal pain. After his admission, serial and detailed examinations were performed. These included: basic blood chemistry studies, abdominal and renal sonography, excretory urography, radionuclide scintigraphy and angiography with selective renal vein renin sampling. Diagnosis was made of renovascular hypertension with combination of unilateral renal hypoplasia and bilateral renal artery stenosis. The patient was given oral anti-hypertensive drugs, with resulting satisfactorily controlled blood pressure after two weeks of treatment. He was discharged without surgical intervention.
一名三岁男孩因腹痛被送往本院急诊科时，偶然发现患有严重高血压（约200/110 mmHg）。入院后，进行了一系列详细检查，包括：基础血液化学检查、腹部和肾脏超声检查、排泄性尿路造影、放射性核素闪烁扫描以及选择性肾静脉肾素采样血管造影。诊断为肾血管性高血压，合并单侧肾发育不全和双侧肾动脉狭窄。患者接受口服抗高血压药物治疗，治疗两周后血压得到满意控制。他未经手术干预出院。
