紧急程度高
-极为严肃
由于血压升高影响大脑,心脏和肾脏,这是一种危及生命的情况。
最常见的原因是肾脏疾病(器官或其动脉)和内分泌(激素)。它受到肥胖,男性,黑人种族,母乳喂养,低出生体重和高血压家族史的青睐。
症状通常发生在两岁之前,并且是头痛,流鼻血,视力障碍,排尿频率增加,口渴等。
对于诊断,每当患者抱怨头痛,昏昏欲睡或出现神经症状时,必须怀疑它。它完成了临床病史和完整的体格检查。此外,还将进行其他测试,如血液测试和各种成像测试。
根据病因个性化的治疗是紧急的,并且在医院中以避免对受影响的器官的永久性损害并且最小化药物(拉贝洛尔,硝普钠或尼卡地平)的副作用。
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- National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 2004; 114:555.
- Xi B, Zong X, Kelishadi R, et al. Establishing International Blood Pressure References Among Nonoverweight Children and Adolescents Aged 6 to 17 Years. Circulation 2016; 133:398.
- James PA, Oparil S, Carter BL, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014; 311:507.
- Kotchen TA. Vasculopatía Hipertensiva. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición: 1626-1627.
医生 Sara Vitoria
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