极重度动脉高血压治疗后出现昏迷，地塞米松治疗后病情改善。
Coma following treatment of very severe arterial hypertension, with improvement after dexamethasone therapy.
作者信息
Farrow L J, Wood J B
出版信息
Postgrad Med J. 1974 Aug;50(586):517-9. doi: 10.1136/pgmj.50.586.517.
Abstract
We describe two patients with very severe arterial hypertension, who were treated vigorously and effectively with hypotensive drugs. Both promptly developed gross neurological abnormalities, yet recovered fully after treatment with dexamethasone. We have found no similar published reports. We believe that these cases illustrate an important risk of treatment of severe hypertension, and we suggest that cerebral oedema developed, and was then relieved by dexamethasone.
摘要
我们描述了两名患有非常严重动脉高血压的患者，他们接受了强效降压药物治疗且效果显著。两人均迅速出现严重的神经功能异常，但在接受地塞米松治疗后完全康复。我们未发现类似的已发表报告。我们认为这些病例说明了严重高血压治疗中的一个重要风险，并且我们推测发生了脑水肿，而后地塞米松缓解了脑水肿。
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