本文選題：兒童　切入點(diǎn)：直立性高血壓　出處：《中國(guó)實(shí)用兒科雜志》2017年08期

【摘要】：目的探討兒童直立性高血壓(OHT)的發(fā)病情況及臨床特征。方法收集2009—2015年在北京大學(xué)第一醫(yī)院兒科住院的以暈厥、頭暈等為主要表現(xiàn)的1348例兒童的病例資料,檢出OHT患兒24例,分析其人口學(xué)特征、各種臨床表現(xiàn)的發(fā)生率、誘發(fā)因素及臥立位血壓變化情況。結(jié)果 (1)OHT男14例,女10例,男女患病率≤12歲者與12歲者所占比例差異均無(wú)統(tǒng)計(jì)學(xué)意義;(2)直立性高收縮壓(s OHT)與直立性高舒張壓(d OHT)≤12歲者與12歲者所占比例、男女所占比例差異均無(wú)統(tǒng)計(jì)學(xué)意義;(3)就診時(shí)最常見(jiàn)的癥狀為暈厥、頭暈、胸悶等,其中發(fā)生暈厥和胸悶癥狀者以d OHT患兒居多,s OHT與d OHT患兒出現(xiàn)頭暈癥狀者比例相當(dāng);多在患兒突然體位變化(41.7%)或持久站立(37.5%)、持久坐位(37.5%)時(shí)發(fā)生;其中持久站立和持久坐位是誘發(fā)s OHT的主要原因,而突然體位變化是d OHT的主要誘因。結(jié)論 OHT患兒發(fā)病與分型均不存在年齡及性別差異,以暈厥、頭暈和胸悶為主要臨床癥狀;持久站立和持久坐位是誘發(fā)s OHT的主要原因,而突然體位變化是d OHT的主要誘因。
[Abstract]:Objective to investigate the incidence and clinical characteristics of orthostatic hypertension (OHT) in children.Methods the data of 1348 children with syncope and dizziness were collected from 2009 to 2015 in pediatrics department of Peking University first Hospital. 24 cases of OHT were detected. The demographic characteristics and the incidence of various clinical manifestations were analyzed.Inducing factors and changes of blood pressure in supine position.Results there were 14 males and 10 females with the prevalence of OHT 鈮，

本文編號(hào)：1724244