Scrivano Jacopo, Giuliani Anna, Pettorini Laura, Punzo Giorgio, Mene' Paolo, Pirozzi Nicola
Dipartimento di Medicina Clinica e Molecolare, Facolta' di Medicina e Psicologia, Universita di Roma, Roma, Italy.
G Ital Nefrol. 2011 Sep-Oct;28(5):499-505.
The classification and management of hypertensive crisis have been recently reviewed in the context of both European and American guidelines. The key points for proper blood pressure control in severe arterial hypertension are: 1 - Distinction between urgent intervention and emergencies 2 - Choice of the best drug(s) 3 - Choice of the correct route of administration. In patients with renal disease, beside the common causes of hypertension/ hypertensive crises, kidney-specific causes should be taken into account such as renal parenchymal hypertension, renovascular hypertension, sclerodermic crises, and preeclampsia.
近期,欧美指南对高血压急症的分类与管理进行了回顾。重症动脉高血压患者实现血压合理控制的关键点包括:1. 区分紧急干预与急症;2. 选择最佳药物;3. 选择正确给药途径。对于肾病患者,除了高血压/高血压急症的常见病因外,还应考虑肾脏特异性病因,如肾实质性高血压、肾血管性高血压、硬皮病危象和先兆子痫。