Secondary Hypertension in Children

續發性高血壓

林絹惠(Jiuann-Huey Lin) ； 曹永魁(Yong-Kwei Tsau) ； 蔡文友(Wen-Yu Tsai) ； 吳美環(Mei-Hwan Wu)

《Acta Paediatrica Taiwanica》 40卷6期 (1999/12) Pp. 418-423

https://doi.org/10.7097/APT.199912.0418

摘要

續發性高血奪通常是可以治療的疾病。我們收集了自1992年一月至1998年六月共136個案分析其發生高血壓之原因，臨床表現及預後。續發性高血壓之原因在幼兒主發爲主動脈，而在青少年大多爲紅斑性狼瘡。續發性高血壓常以高血壓無關之症狀表現(37.5%)，有人甚至沒有症狀。五分之一(20.6%)的病患死亡，存活的病人其高血壓靠外科治療，小船塢腎及藥物控制。

關鍵字

兒童高血壓 ； 主動脈縮窄 ； 腎實質病變 ； 腎血管高血壓

並列摘要

Secondary hypertension is a potentially curable disease. One-hundred-and thirty six children was diagnosed as hypertension in the National Taiwan University Hospital from January 1992 to June 1998 and they were retrospectively reviewed and analysed for the etiological factors, presentation, and clinical outcome. The most common cause of hypertension was coarctation of aorta in infants and systemic lupus nephritis in adolescents. These children often presented symptoms and signs not directly related hypertension (37.5%). Twenty eight children (20.6%) died. The hypertension of the survival had been controlled by surgery, chronic hemodialysis, or medication.

並列關鍵字

pediatric hypertension ； coarctation of aorta ； renal parenchymal disease ； renal vascular hypertension