Munoz A I, Baralt J F, Melendez M T
Am J Dis Child. 1977 Jan;131(1):38-40. doi: 10.1001/archpedi.1977.02120140040005.
Six infants with hydronephrosis developed hypertension during the first year of life. Five of them, all with proved or suspected acute urinary tract infection, had transient hypertensive episodes lasting for 7 to 17 days. One of the five infants, who had ureteropelvic junction obstruction and unilateral hydronephrosis, remained normotensive after nephrectomy. The sixth patient, with bilateral hydronephrosis and elevated peripheral vein renin activity, has had persistent hypertension. We discuss possible mechanisms underlying hypertension in these infants and suggest that young patients with hydronephrosis may be unusually predisposed to acute hypertensive episodes.
六名患有肾积水的婴儿在出生后的第一年出现了高血压。其中五名婴儿，均证实或怀疑患有急性尿路感染，经历了持续7至17天的短暂高血压发作。五名婴儿中的一名，患有输尿管肾盂连接处梗阻和单侧肾积水，肾切除术后血压恢复正常。第六名患者，患有双侧肾积水且外周静脉肾素活性升高，患有持续性高血压。我们讨论了这些婴儿高血压的可能机制，并表明患有肾积水的年轻患者可能特别容易发生急性高血压发作。
