儿科高血压:一个异常呈现的病例报告
Marta Baldo1, Francisca Andrade1, Ana Macedo1
1Family Medicine, Unidade de Saúde Familiar (USF) Novo Sentido, Unidade Local de Saúde (ULS) São João, Porto, PRT.
Cureus
|October 1, 2025
概括
儿科高血压可能表明无声的脏问题,如尿管盆结阻塞 (UPJO). 通过例行查进行早期检测对于及时干预和儿童更好的结果至关重要.
科学领域:
- 儿科脏病学 儿科脏病学
- 儿科泌尿外科 儿科泌尿外科
- 临床病例报告 临床病例报告
背景情况:
- 儿科高血压经常无症状,可能掩盖潜在的次要原因.
- 尿道接阻塞 (UPJO) 是儿科上泌尿道扩张的主要原因.
- UPJO通常表现为疼痛,出血或尿路感染,但很少仅表现为高血压.
研究的目的:
- 报告一个罕见的无症状儿科高血压病例,这是UPJO的次要病例.
- 突出儿童常规血压查的重要性.
- 为了强调无声病症和高血压之间的联系.
主要方法:
- 一个八岁男孩的病例报告,有偶尔的高血压和蛋白尿.
- 诊断成像包括超声波和CT扫描,以评估脏解剖学和阻塞.
- 管理涉及抗高血压药物和UPJO的手术纠正.
主要成果:
- 患者出现了无症状的高血压和蛋白尿.
- 图像检测证实左侧UPJO,功能障碍和马脏.
- 成功的手术纠正UPJO导致改善功能和血压控制.
结论:
- 儿童无症状高血压可能是潜在脏疾病的迹象,如UPJO.
- 常规血压监测对于早期诊断无声病理是必不可少的.
- 及时诊断和治疗UPJO可以预防长期的损伤和并发症.
更多相关视频
相关概念视频
Hypertension III: Clinical Manifestations and Diagnostic Studies
471
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...
471
Hypertension I: Introduction
743
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,...
743
Alterations in Blood Pressure
2.1K
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...
2.1K
Measurement of Blood Pressure
2.7K
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
2.7K
Special considerations while measuring blood pressure
1.2K
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
1.2K
Pharmacokinetics in Pediatric Patients: Drug Distribution
254
Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
254


