Dieterle T, Zeller A, Martina B, Battegay E
Medizinische Universitätspoliklinik, Kantonsspital Basel.
Praxis (Bern 1994). 2001 Nov 15;90(46):2009-14.
Hypertensive emergencies are acute, life-threatening events, characterised by high blood pressure and concomitant acute hypertensive target organ damage. These patients need immediate lowering of blood pressure mostly with parenteral drugs in the range of the autoregulative capacity of organ circulation and in-hospital monitoring of the vital functions. Hypertensive urgencies are not necessarily life-threatening, but persistence of high blood pressure may lead to acute target organ damage. Blood pressure should be lowered within 24 to 48 hours. Oral therapy is normally sufficient and hospitalisation is rarely necessary, but maintenance of antihypertensive therapy outside the hospital has to be ascertained.
高血压急症是急性、危及生命的事件,其特征为高血压并伴有急性高血压靶器官损害。这些患者大多需要通过肠外用药迅速降低血压,降压幅度应在器官循环自动调节能力范围内,并需在医院对生命功能进行监测。高血压亚急症不一定危及生命,但高血压持续存在可能导致急性靶器官损害。血压应在24至48小时内降低。通常口服治疗就足够了,很少需要住院,但必须确保在院外维持降压治疗。