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1月龄至1岁婴儿的高血压

Author
Tej K Mattoo, MD, DCH, FRCP
Section Editor
F Bruder Stapleton, MD
Deputy Editor
Melanie S Kim, MD
Translators
吕海涛, 主任医师，教授

引言

高血压一般是通过比较患者血压(blood pressure, BP)与标准血压值来诊断。然而在婴儿中诊断高血压比较困难，因为缺乏可靠的标准数据且未常规测量健康婴儿的血压。

本文将总结1月龄至1岁婴儿中基于现有数据的高血压定义、高血压危险因素及病因。新生儿及较大儿童的高血压病因和危险因素，以及婴儿高血压的治疗将单独讨论。(参见“新生儿高血压的病因、临床特征及诊断”和“儿童与青少年高血压的流行病学、危险因素和病因学”)

定义

与较大儿童一样，婴儿高血压的定义也是以血压百分位数为依据。确定下列血压分类时，收缩压和舒张压具有同样重要的意义(参见“儿童和青少年高血压的定义和诊断”)：

●正常血压–收缩压及舒张压均小于第90百分位数。

●高血压前期–收缩压和/或舒张压大于等于第90百分位数但小于第95百分位数。

         

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Literature review current through: 2017-06 . | This topic last updated: 2017-06-30.
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