Stewart David L, Feinstein Sharon E, Colgan Richard
Department of Family Medicine, University of Maryland School of Medicine, 29 South Paca Street, Baltimore, MD 21201, USA.
Prim Care. 2006 Sep;33(3):613-23, v. doi: 10.1016/j.pop.2006.06.001.
Hypertension management is a common reason for visits to primary care physicians. One third of patients with hypertension do not have controlled blood pressure, and may present to the physician's office with hypertensive urgencies or emergencies. How to define severely elevated blood pressure, appropriate triage, and the clinical evaluation of those with hypertensive urgencies or emergencies is reviewed. Suggestions for pharmacologic therapy and follow-up are offered.
高血压管理是患者就诊于初级保健医生的常见原因。三分之一的高血压患者血压未得到控制,可能会因高血压急症或紧急情况前往医生办公室。本文综述了如何定义严重血压升高、适当的分诊以及对高血压急症或紧急情况患者的临床评估。并提供了药物治疗和随访的建议。