Székhelyi Z, Vissy A
Borsod A.Z. Megyei Kórház, Miskolc.
Orv Hetil. 1997 Mar 30;138(13):793-7.
Hypertension in the neonatal period and early infancy in underdiagnosed due to the absence of the attention and the difficulties of diagnostic procedures. Although the neonatal systemic hypertension is rare, but it can, cause serious medical problem with an increased risk of cardiorespiratory failure, cerebral distress and growth failure. Arising questions in their daily work got the authors to review the literature. They analyse procedures and criteria of measuring of neonatal blood pressure and values of neonatal hypertension. In addition to a list of the origin of hypertension they discuss the most frequent causes. The symptoms of the neonatal hypertension and the examinations were drawn up a chart. By choosing of the therapy is accented the important of knowing pathomechanism, recommended drugs, their doses and limits due to the side effects. Time of the diagnosis of hypertension and adequate treatment influence the prognosis fundamentally. The authors call the doctors attention to the early measure of blood pressure, clear the etiology and the permanent control of touched organs.
由于缺乏关注以及诊断程序存在困难，新生儿期和婴儿早期的高血压常常未被诊断出来。虽然新生儿系统性高血压较为罕见，但它会引发严重的医学问题，增加心肺衰竭、脑功能障碍和生长发育迟缓的风险。作者在日常工作中遇到的问题促使他们查阅文献。他们分析了新生儿血压测量的程序和标准以及新生儿高血压的数值。除了列出高血压的起源外，他们还讨论了最常见的病因。绘制了新生儿高血压的症状和检查图表。在选择治疗方法时，强调了了解发病机制、推荐药物、药物剂量以及副作用限制的重要性。高血压的诊断时间和适当治疗从根本上影响预后。作者呼吁医生注意早期血压测量、明确病因以及对受影响器官进行持续监测。
