本文对68例小儿慢性高血压的病因及手术疗效进行分析。其中慢性肾性高血压38例(占55.8%);内分泌疾病引起高血压19例(占27.9%);大动脉炎致高血压15例(占22%)。本文不包括慢性肾炎、肾炎性肾病、紫癜性肾炎及SLE肾炎。68例中35例作手术治疗,占慢性高血压总数的51.4%,其中因广泛粘连或转移未能切除原发病灶3例,术后死亡2例,其它病例术后高血压在1～2周内基本得到控制,疗效满意。 In this paper, 68 cases of pediatric chronic hypertension etiology and surgical efficacy analysis. There were 38 cases of chronic renal hypertension (55.8%), 19 cases of endocrine disease (27.9%) and 15 cases of arteritis (22%). This article excludes chronic glomerulonephritis, nephritic nephropathy, purpuric nephritis and SLE nephritis. Among the 68 cases, 35 cases were treated surgically, accounting for 51.4% of the total number of chronic hypertension. Among them, 3 cases were unable to remove the primary lesion due to extensive adhesion or metastasis, 2 cases were postoperative death, 1 to 2 weeks postoperatively in other cases Within the basic control, efficacy satisfactory.