临床荟萃
臨床薈萃
림상회췌
Clinical Focus
2015年
11期
1223-1225
,共3页
高血压%急诊处理%指南%药物疗法
高血壓%急診處理%指南%藥物療法
고혈압%급진처리%지남%약물요법
hypertension%emergency treatment%guidebooks%drug therapy
高血压急症是急诊及各科门诊常见疾病,可危及生命,且预后不良。表现多样,常伴随神经科、外科、产科等复杂情况出现。但其规范的诊治流程,目前尚缺乏优质的大规模临床证据支持。根据近年欧美指南及笔者自身的经验,将高血压急症分为常规处理及特殊疾病情况下的处理,结合药物治疗的进展及降压目标、注意事项等讨论。
高血壓急癥是急診及各科門診常見疾病,可危及生命,且預後不良。錶現多樣,常伴隨神經科、外科、產科等複雜情況齣現。但其規範的診治流程,目前尚缺乏優質的大規模臨床證據支持。根據近年歐美指南及筆者自身的經驗,將高血壓急癥分為常規處理及特殊疾病情況下的處理,結閤藥物治療的進展及降壓目標、註意事項等討論。
고혈압급증시급진급각과문진상견질병,가위급생명,차예후불량。표현다양,상반수신경과、외과、산과등복잡정황출현。단기규범적진치류정,목전상결핍우질적대규모림상증거지지。근거근년구미지남급필자자신적경험,장고혈압급증분위상규처리급특수질병정황하적처리,결합약물치료적진전급강압목표、주의사항등토론。
Hypertensive emergency is a common disease in the clinic of emergency and various departments,it can be life-threatening,and prognosis is poor.The clinical manifestations are varied,often accompanied with complex situations involving neurology,surgery,obstetrics and others.But,in its diagnosis and treatment process specification, large-scale high-quality clinical evidence is rare to support at present.According to Europe and America new guidelines in recent years,and the author's own experience,hypertensive emergency is divided into routine treatment and special handling in the disease classification,medicine progress and anti-hypertension target together with precautions are comprehensively viewed.