Evaluation and treatment of hypertensive crises in children

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE
Deborah R. Stein, M. Ferguson
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引用次数: 19

Abstract

Hypertensive crises in children are medical emergencies that must be identified, evaluated, and treated promptly and appropriately to prevent end-organ injury and even death. Treatment in the acute setting typically includes continuous intravenous antihypertensive medications with monitoring in the intensive care unit setting. Medications commonly used to treat severe hypertension have been poorly studied in children. Dosing guidelines are available, although few pediatric-specific trials have been conducted to facilitate evidence-based therapy. Regardless of what medication is used, blood pressure should be lowered gradually to allow for accommodation of autoregulatory mechanisms and to prevent cerebral ischemia. Determining the underlying cause of the blood pressure elevation may be helpful in guiding therapy.
儿童高血压危象的评价与治疗
儿童高血压危象是医疗紧急情况,必须及时、适当地识别、评估和治疗,以防止终末器官损伤甚至死亡。在急性环境下的治疗通常包括持续静脉注射抗高血压药物,并在重症监护病房设置监测。通常用于治疗严重高血压的药物在儿童中的研究很少。剂量指南是可用的,尽管很少有针对儿科的试验来促进循证治疗。无论使用何种药物,都应逐渐降低血压,以适应自身调节机制,防止脑缺血。确定血压升高的潜在原因可能有助于指导治疗。
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来源期刊
Integrated Blood Pressure Control
Integrated Blood Pressure Control PERIPHERAL VASCULAR DISEASE-
CiteScore
4.60
自引率
0.00%
发文量
13
审稿时长
16 weeks
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