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我院于1960～1977年共收治高血压脑病24例,其中男10例,女14例,年龄3～5岁3例,6～9岁12例,10～12岁9例。6～12岁共21例,占88％。病因:急性肾小球肾炎11例,用激素治疗引起者4例(肾病综合征2例,原发性心肌病、纵隔肿瘤各一例),过敏性紫瘢性肾炎3例(其中急进型一例),肾动脉狭窄(肾动脉造影及手术证实)2例,慢性肾小球肾炎急性发作(尸体解剖证实)、狼疮性肾炎、原发性醛固酮增多症、嗜铬细胞瘤各一例。临床症状:除有原发疾病的特征外,高血压脑病起病突然,在出现血压骤升或心力衰竭的同时发生神经精神症状如:惊厥(22例)、昏迷(18例)、呕吐(17例)、头痛(14例)、嗜睡(13例)、烦躁(13例)、头晕(8例)、气急
In our hospital from 1960 to 1977 were treated in 24 cases of hypertensive encephalopathy, including 10 males and 14 females, aged 3 to 5 years in 3 cases, 6 to 9 years in 12 cases, 10 to 12 years in 9 cases. A total of 21 patients aged 6 to 12 years, accounting for 88%. Etiology: acute glomerulonephritis in 11 cases, caused by hormone therapy in 4 cases (nephrotic syndrome in 2 cases, primary cardiomyopathy, mediastinal tumors in each case), allergic purple scar nephritis in 3 cases (of which acute type in one case) , Renal artery stenosis (renal artery angiography and surgery confirmed) in 2 cases, acute exacerbation of chronic glomerulonephritis (autopsy confirmed), lupus nephritis, primary aldosteronism, a case of pheochromocytoma. Clinical symptoms: In addition to the characteristics of the primary disease, sudden onset of hypertensive encephalopathy occurs neuropsychiatric symptoms such as convulsions (22 cases), coma (18 cases), vomiting (17 cases), sudden worsening of blood pressure Cases), headache (14 cases), lethargy (13 cases), irritability (13 cases), dizziness (8 cases), shortness of breath