Drug treatment of hypertension in children includes the application of antihypertensive drugs and complications. The application of antihypertensive drugs should strictly grasp the indications, including symptomatic hypertension, secondary hypertension, hypertension complicated with diabetes and cardiovascular damage, and non-drug treatment with poor effect. The commonly used antihypertensive drugs for children include angiotensin converting enzyme inhibitors, angiotensin Ⅱ receptor blockers, β receptor blockers and diuretics. Selection principle of antihypertensive drugs: First use one drug at the initial stage of treatment, and gradually increase the dose from the minimum dose to achieve antihypertensive effect. If a drug has reached a large therapeutic dose and the effect is still unsatisfactory, add a second drug, such as ACEI and diuretics, or calcium antagonists and diuretics. The common treatment plan is to use thiazide diuretics first, propranolol when it fails, and vasodilators when necessary. The pathogenesis of hypertension should be considered when choosing drugs. People who are dissatisfied with long-term blood pressure control need to use drugs with different modes of action. For example, beta blockers or captopril can be used for high renin hypertension, and diuretics can also be added to improve the curative effect. Diuretics are usually effective for volume-dependent hypertension. When pheochromocytoma secretes too much catecholamine, phentolamine can be given intravenously or orally, and propranolol can be added when tachycardia occurs. Minoxidil plus propranolol and diuretics also have good effects on refractory and renal hypertension.
Related diagnosis and treatment knowledge department: Pediatrics of Cardiovascular Medicine
Treatment cost: different hospitals charge different fees, which is about (500- 1000 yuan) in tertiary hospitals in the city.
Cure rate: 60%
Course of treatment: 14-2 1 day.
Treatment: surgical treatment.
Matters needing attention in treatment
1. Children's hypertension is extremely harmful, so parents should pay close attention to their children's health. Children with normal blood pressure, children with family history of hypertension and obese children should be taken as the key prevention targets, and their blood pressure should be measured regularly.
2. Parents should also pay attention to whether the child has symptoms of hypertension such as headache, dizziness, convulsions, vomiting, dizziness and dyspnea. If accompanied by signs of hypertension, you should go to the hospital in time.
3. In addition, we should pay attention to the prevention and treatment of some diseases that cause secondary hypertension, such as upper respiratory tract infection and acute nephritis. Early diagnosis, appropriate treatment, early intervention and early treatment should be done to reduce the occurrence of complications.
It is also important to make people aware of the danger of childhood obesity and hypertension. Although heart disease does not necessarily occur in childhood, childhood hypertension has opened the curtain of health problems in people's lives.
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