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[直立性低血压:如何看待及如何应对?]

[Orthostatic hypotension: what to think of it and what to do?].

作者信息

Waeber Bernard, Pruvot Etienne

机构信息

Division de physiopathologie clinique, PPA MP 14-02-204, CHUV, 1011 Lausanne.

出版信息

Rev Med Suisse. 2013 Sep 11;9(397):1618-21.

Abstract

Orthostatic hypotension is encountered frequently in everyday practice. It is often very disabling because of its troublesome symptomalogy. Orthostatic hypotension may be due to several causes and can be easily diagnosed by measuring blood pressure and heart rate after 3 minutes in upright posture. Its treatment comprises in all cases non-pharmacological interventions which can be associated whenever required by medications, in particular midodrine and fludrocortisone.

摘要

直立性低血压在日常医疗实践中经常遇到。由于其令人困扰的症状,它常常会导致严重的功能障碍。直立性低血压可能由多种原因引起,通过测量直立姿势3分钟后的血压和心率即可轻松诊断。其治疗在所有情况下都包括非药物干预,必要时可联合使用药物,特别是米多君和氟氢可的松。

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