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静脉注射拉贝洛尔治疗重度高血压的急诊处理

Emergency treatment of severe hypertension with intravenous labetalol.

作者信息

McGrath B P, Matthews P G, Walter N M, Maydom B W, Johnston C I

出版信息

Med J Aust. 1978 Oct 21;2(9):410-1. doi: 10.5694/j.1326-5377.1978.tb76817.x.

DOI:10.5694/j.1326-5377.1978.tb76817.x
PMID:732728
Abstract

The effects of intravenously administered labetalol on blood pressure and pulse rate were examined in 17 patients with severe hypertension. Prompt and sustained falls in supine blood pressure and pulse rate occurred in ten patients (responders), but seven patients showed little or no change in either measurement (non-responders). Labetalol had a more marked effect on standing than on supine blood pressure. Only two of the responders, but all of the non-responders were concurrently receiving antihypertensive drugs. Plasma renin activity, plasma renin concentration and plasma angiotensin II concentration fell slightly over the one-hour period of observation in ten patients in whom serial measurements were made, but the changes were independent of the blood pressure response.

摘要

在17例重度高血压患者中研究了静脉注射拉贝洛尔对血压和脉搏率的影响。10例患者(反应者)仰卧位血压和脉搏率迅速且持续下降,但7例患者这两项测量指标几乎没有变化或无变化(无反应者)。拉贝洛尔对站立位血压的影响比对仰卧位血压的影响更显著。反应者中只有2例,而所有无反应者同时正在接受抗高血压药物治疗。在进行了系列测量的10例患者中,观察的1小时内血浆肾素活性、血浆肾素浓度和血浆血管紧张素II浓度略有下降,但这些变化与血压反应无关。

相似文献

1
Emergency treatment of severe hypertension with intravenous labetalol.静脉注射拉贝洛尔治疗重度高血压的急诊处理
Med J Aust. 1978 Oct 21;2(9):410-1. doi: 10.5694/j.1326-5377.1978.tb76817.x.
2
Blood pressure reduction by incremental infusion of labetalol in patients with severe hypertension.重度高血压患者通过递增输注拉贝洛尔降低血压
Br J Clin Pharmacol. 1979 Oct;8(4):359-64. doi: 10.1111/j.1365-2125.1979.tb04719.x.
3
Treatment of severe hypertension by repeated bolus injections of labetalol.通过多次静脉推注拉贝洛尔治疗重度高血压。
Br J Clin Pharmacol. 1979;8(Suppl 2):199S-204S.
4
Intravenous labetalol in severe hypertension. Effects on blood pressure, plasma renin activity and catecholamines.静脉注射拉贝洛尔治疗重度高血压。对血压、血浆肾素活性和儿茶酚胺的影响。
Arzneimittelforschung. 1981;31(3):524-6.
5
Effects of intravenous labetalol on blood pressure, angiotensin II and aldosterone in hypertension: comparison with propranolol.静脉注射拉贝洛尔对高血压患者血压、血管紧张素II及醛固酮的影响:与普萘洛尔的比较
Clin Sci Mol Med Suppl. 1976 Dec;3:497s-499s. doi: 10.1042/cs051497s.
6
[Essential arterial hypertension. Effects of labetalol on blood pressure and renin-angiotensin system (author's transl)].[原发性高血压。拉贝洛尔对血压及肾素-血管紧张素系统的影响(作者译)]
Nouv Presse Med. 1980 Sep 27;9(35):2565-8.
7
A comparison of the effects of labetalol, bendrofluazide and their combination in hypertension.拉贝洛尔、苄氟噻嗪及其联合用药对高血压疗效的比较。
Br J Clin Pharmacol. 1979 Aug;8(2):149-54. doi: 10.1111/j.1365-2125.1979.tb05813.x.
8
Effect of increasing doses of labetalol on blood pressure, plasma renin activity and aldosterone in hypertensive patients.递增剂量拉贝洛尔对高血压患者血压、血浆肾素活性及醛固酮的影响。
Clin Sci (Lond). 1979 Dec;57 Suppl 5:401s-404s. doi: 10.1042/cs057401s.
9
Labetalol (AH5158), a competitive alpha- and beta-receptor blocking drug, in the management of hypertension.拉贝洛尔(AH5158),一种竞争性α和β受体阻断药物,用于治疗高血压。
Aust N Z J Med. 1976 Aug;6(3 Suppl):83-8. doi: 10.1111/j.1445-5994.1976.tb03341.x.
10
Labetalol in essential hypertension.拉贝洛尔治疗原发性高血压
J Cardiovasc Pharmacol. 1980 Nov-Dec;2(6):751-9. doi: 10.1097/00005344-198011000-00005.

引用本文的文献

1
Intravenous labetalol in severe hypertension.重度高血压的静脉注射拉贝洛尔治疗
Br J Clin Pharmacol. 1982 Jun;13(1 Suppl):97S-99S. doi: 10.1111/j.1365-2125.1982.tb01896.x.
2
Diazoxide and labetalol in acute hypertension during haemodialysis.血液透析期间急性高血压时使用二氮嗪和拉贝洛尔。
Eur J Clin Pharmacol. 1983;25(4):523-7. doi: 10.1007/BF00542122.
3
Combined alpha- and beta-receptor inhibition in the treatment of hypertension.联合α和β受体抑制治疗高血压。
Drugs. 1984;28 Suppl 2:51-68. doi: 10.2165/00003495-198400282-00005.
4
Comparison of labetalol with other anti-hypertensive drugs.拉贝洛尔与其他抗高血压药物的比较。
Br J Clin Pharmacol. 1982 Jun;13(1 Suppl):41S-47S. doi: 10.1111/j.1365-2125.1982.tb01888.x.
5
Hypertensive emergencies and urgencies: definition, recognition, and management.高血压急症和亚急症:定义、识别与管理
J Gen Intern Med. 1988 Jan-Feb;3(1):64-74. doi: 10.1007/BF02595759.
6
[Effectiveness and hemodynamic mechanism of action of blood pressure lowering by intravenous labetalol in patients with a critical increase in blood pressure].[静脉注射拉贝洛尔对血压急剧升高患者降压的有效性及血流动力学作用机制]
Klin Wochenschr. 1989 Jul 17;67(14):723-9. doi: 10.1007/BF01721291.