Girerd X, Hanon O
Service de médecine interne Hôpital Broussais, Paris.
Rev Prat. 1999 Mar 1;49(5):527-31.
A patient with a blood pressure greater than 140/90 mmHg under triple drug therapy, including a diuretic, has a resistant hypertension. Management mandates the following steps: to identify antihypertensive treatments previously prescribed (doses, efficacy, side effects); to evaluate blood pressure levels outside the medical office; to inquire about poor compliance; to search for secondary hypertension. In most cases, tailoring of treatments improves the care of such patients.
在接受包括利尿剂在内的三联药物治疗时血压仍高于140/90 mmHg的患者患有顽固性高血压。治疗需要采取以下步骤：确定之前开具的抗高血压治疗方案（剂量、疗效、副作用）；评估诊室以外的血压水平；询问是否存在依从性差的情况；查找继发性高血压。在大多数情况下，调整治疗方案可改善对此类患者的护理。
