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当前高血压的治疗。一种药物治疗方法。

Current therapy of hypertension. A pharmacologic approach.

作者信息

Goldberg L I

出版信息

Am J Med. 1975 Apr;58(4):489-94. doi: 10.1016/0002-9343(75)90121-7.

Abstract

Adequate treatment of hypertension requires that the physician understand the pharmacologic actions of antihypertensive agents. Although no drug is without adverse reactions, it should be possible to choose an agent or combination of agents which can effectively lower blood pressure and be tolerated by the patient. The indications, proposed mechanisms of actions and adverse effects of the following antihypertensive drugs are discussed: thiazide diuretics, spironolactone, triamterene, trimethaphan, Rauwolfia alkaloids. guanethidine, bethanidine, methyldopa, clonidine, pargyline, propranolol, hydrazaline, minoxidil, guancydine, diazoxide and sodium nitroprusside.

摘要

高血压的充分治疗要求医生了解抗高血压药物的药理作用。虽然没有一种药物没有不良反应,但应该能够选择一种或几种能有效降低血压且患者能够耐受的药物。本文讨论了以下抗高血压药物的适应证、作用机制及不良反应:噻嗪类利尿剂、螺内酯、氨苯蝶啶、三甲噻方、萝芙木生物碱、胍乙啶、倍他尼定、甲基多巴、可乐定、帕吉林、普萘洛尔、肼屈嗪、米诺地尔、胍环定、二氮嗪和硝普钠。

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