相关实验视频
Updated: Jul 11, 2025

02:22
Full-Endoscopic Surgery for Hypothalamic Hamartoma Resection
Published on: April 12, 2024
359
爆发:患有神经母细胞瘤的儿童的持续高血压
Elizabeth Elliott1, Sarah Rogal2, Boh Song3,4
1Department of Critical Care Medicine, Children's National Hospital, Washington, D.C., USA. eelliott@childrensnational.org.
Pediatric nephrology (Berlin, Germany)
|November 9, 2023
概括
神经母细胞瘤中的儿科高血压是罕见的,具有挑战性的. 这一案例突出显示了高血压紧急情况的多学科管理在儿童高度神经母细胞瘤和升高的catecholamines.
科学领域:
- 儿科瘤学 儿科瘤学
- 儿科脏病学 儿科脏病学
- 心脏病学 心脏病学
背景情况:
- 高血压是儿科神经母细胞瘤的一个不常见的并发症.
- 在这个人群中,高血压紧急情况可能难以管理,原因是多因素.
研究的目的:
- 介绍一个患有高度神经母细胞瘤的儿科患者经历高血压紧急情况的案例.
- 讨论处理此类病例的诊断和治疗方面的挑战.
主要方法:
- 一位患有高度神经母细胞瘤的儿科患者的病例报告.
- 诊断工作包括对动脉压缩进行成像,并测量尿中诺美坦尼弗林水平.
- 管理涉及一个多学科的方法与多种抗高血压药物 (ACE抑制剂,α/β抑制剂,氨酸氧酶抑制剂) 开始在手术前.
主要成果:
- 患者出现了高血压紧急情况.
- 图像显示动脉被压缩,诺美甲尼林水平显著升高.
- 手术后血压有所改善,但由于残留的瘤,需要继续服用抗高血压药物治疗.
结论:
- 多学科管理对于儿科神经母细胞瘤患者的术前护理至关重要,这些患者的瘤产生甲基荷胺.
- 仔细控制高血压是必要的,以避免并发症.
相关概念视频
Hypertension V: Nursing Management
10
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
10
Hypertension and Regulation of Blood Pressure
2.1K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
2.1K
Hypertension I: Introduction
14
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
14
Hypertension III: Clinical Manifestations and Diagnostic Studies
15
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
15
Alterations in Blood Pressure
1.2K
Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
1.2K
Blood Pressure
1.2K
Blood pressure (BP) is the pressure or force of blood exerted on the artery's walls as it circulates through the body. It is essential for maintaining blood flow throughout the body.
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
1.2K
