高血压急诊的处理。

Q4 Medicine

East African medical journal Pub Date : 2013-06-20 DOI:10.4172/2167-1095.1000117

Jaya R Mallidi, S. Penumetsa, A. Lotfi

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引用次数: 82

摘要

高血压是临床实践中常见的问题。高血压控制不良的患者可能以“高血压急症”就诊于急诊室——血压严重升高(>180/120 mmHg)，伴有终末器官损伤，包括神经系统、心血管系统或肾脏系统。在治疗这些患者时，关于血压下降的首选率以及适当的药物使用的文献很少。根据专家意见和轶事数据，建议初始处理应集中于迅速识别即将发生或已经发生的终末器官损害，并在最初2小时内将血压降低约25%，主动脉夹层除外，建议快速降低血压。这篇综述提供了一个集中的方法来管理高血压的紧急情况。

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Management of hypertensive emergencies.

Hypertension is a common problem encountered in everyday clinical practice. Patients with poorly controlled hypertension may present to the emergency room with “hypertensive emergency” - severely elevated blood pressure (>180/120 mmHg) associated with end organ damage, involving neurological, cardiovascular or renal systems. There is a paucity of literature regarding the preferred rate of decline of blood pressure, while treating these patients, as well as the appropriate medications to be used. Based on expert opinion and anecdotal data, it is recommended that the initial management should focus on promptly identifying impending or established end organ damage and decreasing the blood pressure by about 25% in the first 2 hours, except in aortic dissection where rapid lowering of blood pressure is recommended. This review provides a focused approach to the management of hypertensive emergencies.

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来源期刊

East African medical journal Medicine-Medicine (all)

自引率

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发文量

期刊介绍： The East African Medical Journal is published every month. It is intended for publication of papers on original work and reviews of all aspects of medicine. Communications bearing on clinical and basic research on problems relevant to East Africa and other African countries will receive special attention. Papers submitted for publication are accepted only on the understanding they will not be published elsewhere without the permission of the Editor-in-Chief