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用钙拮抗剂硝苯地平治疗重度妊娠高血压综合征

Treatment of severe pregnancy-associated hypertension with the calcium antagonist nifedipine.

作者信息

Walters B N, Redman C W

出版信息

Br J Obstet Gynaecol. 1984 Apr;91(4):330-6. doi: 10.1111/j.1471-0528.1984.tb05918.x.

DOI:10.1111/j.1471-0528.1984.tb05918.x
PMID:6712894
Abstract

The calcium antagonist, nifedipine, was given orally to 21 women with acute episodes of severe hypertension during pregnancy or in the puerperium. A rapid and significant fall in blood pressure by an average of 26/20 mmHg was seen at 20 min after administration. The hypotensive effect was not significantly enhanced in those women already taking medication to lower the blood pressure. The principal side effects were headache and cutaneous flushing. No adverse fetal effects were detected. This is the first study of the use of this drug to control hypertension in pregnancy. The apparent efficacy of nifedipine justifies its further investigation in controlled trials.

摘要

对21名在孕期或产褥期出现严重高血压急性发作的女性口服钙拮抗剂硝苯地平。给药后20分钟可见血压迅速且显著下降,平均下降26/20 mmHg。在那些已经服用降压药的女性中,降压效果并未显著增强。主要副作用为头痛和皮肤潮红。未检测到对胎儿的不良影响。这是首次关于使用该药物控制孕期高血压的研究。硝苯地平明显的疗效证明有必要在对照试验中对其作进一步研究。

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Anesthetic management of combined caesarean section and pheochromocytoma removal.
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Effects of antihypertensive drugs on the unborn child: what is known, and how should this influence prescribing?抗高血压药物对未出生胎儿的影响:已知情况以及这应如何影响处方开具?
Paediatr Drugs. 2000 Nov-Dec;2(6):419-36. doi: 10.2165/00128072-200002060-00002.
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Nifedipine attenuates the hypertensive response to tracheal intubation in pregnancy-induced hypertension.硝苯地平可减轻妊娠高血压综合征患者气管插管时的高血压反应。
Can J Anaesth. 1993 Apr;40(4):329-33. doi: 10.1007/BF03009631.
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Hypertension in pregnancy.妊娠期高血压
Arch Dis Child Fetal Neonatal Ed. 1995 Mar;72(2):F139-44. doi: 10.1136/fn.72.2.f139.
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Anaesthetic considerations in high-risk pregnancy.高危妊娠的麻醉注意事项
Can Anaesth Soc J. 1986 May;33(3 Pt 2):S16-27. doi: 10.1007/BF03019152.
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Anaesthesia and pre-eclampsia.麻醉与子痫前期。
Can J Anaesth. 1987 Jul;34(4):415-22. doi: 10.1007/BF03010147.
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