高原地区儿童肾性高血压分析

ANALYSIS OF THE RENAL HYPERTENSION IN CHILDREN AT HIGH ALTITUDE

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。

This article anelysed The etiology,clinic—types,characteristic and The outcome of The renal hypertension in 294 children cases at high altitude. The 86% paticents came from The places between 2000—3000m of The sea level and The other 14%came from The places.where were higher than 3000m The Renal parenchymal hypertension occupied 97.6%, it induced by the acute nephritis 67.7%.and only 2.4% were by reno —vascular hypertension. The results of control the blood pressure was efficacy by the restricted intake of warter.salt and used the diuretrc in the majority cases of acute nephritis,it suggested the cases were fluid volume dependent, meanwhile, the good results by the angiotension converting enzyme inhibition,for the renovascular hypertension cases,it suggested that the cases were Renin dependent.