J******Z
发帖数: 32 | 1 A 13 year old boy is brought to the physician office by his mother for an
examination prior to participation in sports .He has no history of serious
illness and takes no medication .his maternal and paternal grand fathers
have HTN and type 2DM..the pt is at the 95th % for height and above the 95%
for weight and BMI.His temperature is 36.7 and pulse is 84/min and RR is 16/
min and B.P is 130/83mmhg..(95th%).Examination shows no abnormalities.in
addition to recommending participation in sports ,which of following is most
appropriate pharmacotherapy?
A) ACE inhibitor
B)B blocker
C)CCB
D)Thiazides diuretic
E)No pharmacotherapy is indicated.
选了D是错误的，求高手解答 |
r*****2
发帖数: 309 | 2 应该是E吧。BMI>95%就是肥胖（儿科没有大于25，30一说）。很多单纯性高血压是由单
纯性肥胖所致。控制肥胖也就控制了血压。一般先饮食控制减肥，如3-6个月无效再开
始药物控制（大多无效）。 |
J******Z
发帖数: 32 | 3 THX
【在 r*****2 的大作中提到】
: 应该是E吧。BMI>95%就是肥胖（儿科没有大于25，30一说）。很多单纯性高血压是由单
: 纯性肥胖所致。控制肥胖也就控制了血压。一般先饮食控制减肥，如3-6个月无效再开
: 始药物控制（大多无效）。
|
f*******l
发帖数: 606 | 4 One time elevated pressure is not sufficient enough to diagnose hypertension
, not event mention initiate treatment. Thce child should come into the
office at
a different time, allow him to relax and take the pressure again. Even his
pressure still high, life style modification should always be the first
before any pharmalogical intervention. |
