摘要
目的分析63例新生儿高血压的病因及治疗措施。方法回顾性纳入2011年1月至2021年12月在重庆医科大学附属儿童医院新生儿重症监护病房住院确诊为新生儿高血压的病例,对所纳入病例进行病因分析。结果63例新生儿高血压患儿中,男33例,女30例;早产儿41例,足月儿22例;平均胎龄(35.61±7.32)周;平均发病日龄(25.55±1.83)d。有临床表现的仅有1例,表现为呼吸窘迫,其余病例无特异性临床表现。病因分布为原发性高血压21例(33.33%)、肾性高血压12例(19.05%)、先天性心脏病9例(14.29%)、支气管肺发育不良8例(12.70%)、中枢神经系统疾病7例(11.11%)、内分泌系统疾病6例(9.52%)。结论影响新生儿高血压的因素有很多,包括出生胎龄、纠正胎龄及疾病种类因素。大多数新生儿高血压是无症状的,所以在临床治疗时应该尽可能明确病因及慎重选择是否需要用降压药。本文病例经过随访发现,绝大多数患儿预后良好。
Objective To analyze the etiology and treatment measures of 63 cases of neonatal hypertension.Methods The cases of neonatal hypertension diagnosed in the neonatal intensive care unit of Children's Hospital of Chongqing Medical University from January 2011 to December 2021 were retrospectively included,and the etiology of the included cases was analyzed.Results Among 63 cases of neonatal hypertension,there were 33 males and 30 females;41 premature infants and 22 full-term infants;average gestational age was(35.61±7.32)weeks;the average age of onset was(25.55±1.83)d.Only 1 case had clinical manifestations,which showed respiratory distress,and the remaining cases had no specific clinical manifestations.The etiology distribution was 21 cases(33.33%)of primary hypertension,12 cases(19.05%)of renal hypertension,9 cases(14.29%)of congenital heart disease,8 cases(12.70%)of bronchopulmonary dysplasia,7 cases(11.11%)of central nervous system diseases and 6 cases(9.52%)of endocrine system diseases.Conclusion There are many factors affecting neonatal hypertension,including gestational age at birth,corrected gestational age and disease type.Most neonatal hypertension is asymptomatic,so in clinical treatment,it is important to clarify the cause as much as possible and carefully choose whether to use antihypertensive drugs.The cases in this paper were followed up and found that the vast majority of children has a good prognosis.
作者
朱秀菊
韦红
ZHU Xiuju;WEI Hong(Neonatology Department,Children's Hospital of Chongqing Medical University/the Ministry of Education Key Laboratory of Child Development Disease Research/National Clinical Research Center for Child Health and Disorders(Chongqing)/China International Science and Technology Cooperation Base of ChildDevelopment and Critical Disorders,Chongqing 401122,China)
出处
《临床医学研究与实践》
2024年第11期75-78,共4页
Clinical Research and Practice
关键词
新生儿高血压
胎龄
病因
预后
neonatal hypertension
gestational age
etiology
prognosis
