Lieberman E
Pediatr Ann. 1977 Jun;6(6):390-400.
The approach to the diagnosis of established hypertension in childhood can be systematized and focused. The investigation of affected children evolves in an orderly fashion based on data collected from a thorough history and physical examination. Laboratory tests, in the majority of children, can then be selected on the basis of the highest index of suspicion. The cause is often not obscure, and the need to order tests related to several organ systems is avoidable. In a small percentage of patients, however, usually younger children, the cause of hypertension remains obscure until detailed investigations have been performed.
儿童确诊高血压的诊断方法可以系统化且重点突出。对患病儿童的检查会根据全面病史和体格检查收集的数据有序进行。然后,对于大多数儿童,可以根据最高怀疑指数选择实验室检查。病因通常并不隐匿,避免了开具与多个器官系统相关检查的必要性。然而,在一小部分患者中,通常是年幼儿童,在进行详细检查之前,高血压的病因仍然不明。