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本文对高原地区294例小儿肾性高血压的病因、临床类型、特点和治疗效果等进行了分析。86%的患儿来自海拔2000～3000米地区,14%来自海拔3000米以上地区。肾实质性高血压为97.6%,其中由急性肾炎引起者占67.7%。肾血管性高血压为2.4%。前者多数对限制水钠和使用利尿剂效果明显,说明主要为容量依赖性。后者对血管紧张素转换酶抑制剂效果显著,说明为肾素依赖性。
In this paper, 294 cases of pediatric renal hypertension in the plateau etiology, clinical types, characteristics and treatment effects were analyzed. Eighty-six percent of children were from 2000 to 3000 meters above sea level and 14% came from areas above 3000 meters above sea level. Renal parenchymal hypertension was 97.6%, of which 67.7% were caused by acute nephritis. Renal vascular hypertension was 2.4%. Most of the former to limit water sodium and the use of diuretics obvious effect, indicating that the main capacity dependence. The latter has a significant effect on angiotensin-converting enzyme inhibitors, indicating renin-dependent.