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[使用二氮嗪控制高血压危象]

[Use of Hyperstat for arresting hypertensive crises].

作者信息

Golikov A P, Babkov V K, Borisenko A P, Ivleva V I

出版信息

Kardiologiia. 1978 Nov;18(11):96-102.

PMID:364167
Abstract

The indices of central hemodynamics were determined in 112 patients with hypertensive disease during a crisis and in its arrest with hyperstat by means of integral rheography. The condition of the sympatheticoadrenal and kallikrein-kinin systems was studied. It was found that hyperstat normalizes arterial pressure in 5--6 minutes by reducing the initially increased general peripheral resistance and increasing the blood stroke and minute volumes as well as by reducing the content of adrenaline. The indices of the blood kallikrein-kinin system showed a tendency to return to normal values 24 hours after hyperstat administration. The drug caused no complications, only in two patients deterioration of myocardial blood supply was noted. The authors claim that hyperstat is a highly effective agent for arresting hypertensive crises.

摘要

采用积分血流图法,对112例高血压病患者在高血压危象发作期及使用硝普钠控制危象期间的中心血流动力学指标进行了测定。研究了交感肾上腺系统和激肽释放酶-激肽系统的状况。结果发现,硝普钠可通过降低最初升高的总外周阻力、增加每搏输出量和分钟输出量以及降低肾上腺素含量,在5至6分钟内使动脉血压恢复正常。用药24小时后,血液激肽释放酶-激肽系统指标有恢复至正常水平的趋势。该药未引起并发症,仅2例患者出现心肌供血恶化。作者认为硝普钠是控制高血压危象的高效药物。

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