地尔硫对主动脉夹层合并重度高血压的急诊内科处理23例分析  

Effect of intravenous diltiazem on aortic dissection with severe hypertension——analysis of 23 cases

作　　者：崔健 

机构地区：[1]湖南省衡东县人民医院急诊科

出　　处：《中国心血管杂志》2010年第3期236-237,共2页Chinese Journal of Cardiovascular Medicine

摘　　要：目的评价静脉使用地尔硫[艹卓]对主动脉夹层合并重度高血压的急诊处理效果。方法对23例主动脉夹层患者给予静脉使用地尔硫[艹卓]，观察用药前和用药后5、10、20、30、60、120min、6h的心率和血压变化。结果患者在用药后，血压明显下降，心率明显减慢，原有症状缓解，总有效率为87％。未见明显不良反应。结论地尔硫[艹卓]不良反应少，能快速降低血压、减慢心率，可用于主动脉夹层急诊处理。Objective To investigate the efficacy and safety of intravenous diltiazem in the treatment of aortic dissection patients with severe hyperiensian. Methods A total of 23 patients with aortic dissection and severe hypertension were treated with intravenous diltiazem infusion. Blood pressure and heart rate before and 5, 10, 20, 60, 120 and 720 minutes after dihiazem infusion were recorded.Results After diltiazem infusion, the blood pressure and heart rate were decreased, The total effective rate was 87%. Conclusions Dihiazem can reduce heart rate and blood pressure significantly and can be safely used in aotic dissection patients with severe hypertension.

关 键 词：地尔硫[艹卓] 主动脉疾病 急诊处理 

分 类 号：R543[医药卫生—心血管疾病] R544.1[医药卫生—内科学]