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新生儿高血压过去甚少见到,可是最近几年中,国外已有数十例报导,说明发病有所增加。新生儿高血压的诊断标准是足月新生儿收缩压大于90mmHg,舒张压大于60mmHgg柱;早产儿收缩压大于80mmHg,舒张压大于45mmHg。现将有关本病的几个问题综述如下。病因与病理生理新生儿高血压病因最主要的为肾性,其中又以肾血管性为主。肾血管病变可占新生儿高血压病因的93%(75%为肾动脉血栓形成,18%为肾动脉狭窄);其次为心血管原因(如先天性主动脉缩窄)以及中枢性原因(颅内
Neonatal high blood pressure was rarely seen in the past, but in recent years, dozens of reports have been reported abroad, indicating that the incidence has increased. The diagnostic criteria for neonatal hypertension are full-term neonatal systolic blood pressure greater than 90mmHg, diastolic blood pressure greater than 60mmHgg column; preterm systolic blood pressure greater than 80mmHg, diastolic blood pressure greater than 45mmHg. Several questions about this disease are summarized below. Etiology and pathophysiology The most important cause of neonatal hypertension is renal, which is mainly of renal vascular. Renal vascular disease may account for 93% of etiologies of neonatal hypertension (75% for renal artery thrombosis and 18% for renal artery stenosis), followed by cardiovascular causes (such as congenital aortic constriction) and central (cranial Inside