高血压急症

Hypertensive emergencies.

作者信息

Moore M A

出版信息

Am Fam Physician. 1980 Mar;21(3):141-6.

Abstract

Sustained, severe hypertension increases the risk of stroke and renal insufficiency in all patients, and may lead to aortic dissection or accelerated ischemic heart disease in patients with underlying vascular disease. In many situations, such hypertension demands urgent, immediate blood pressure reduction. In some cases, a gradual lowering of blood pressure is not only preferable, but is essential in preventing damage from overzealous therapy. Effective treatment of mild to moderate hypertension would prevent the great majority of hypertensive crises.

摘要

持续性重度高血压会增加所有患者发生中风和肾功能不全的风险，对于有潜在血管疾病的患者，还可能导致主动脉夹层或加速性缺血性心脏病。在许多情况下，这种高血压需要紧急、立即降低血压。在某些情况下，逐渐降低血压不仅更可取，而且对于防止过度积极治疗造成的损害至关重要。有效治疗轻度至中度高血压可预防绝大多数高血压危象。