高血压急症诊治体会  

Experience in Diagnosis and Treatment of Hypertensive Emergencies

作　　者：蒋学友[1] 黄永菊 JIANG Xueyou;HUANG Yongju(The Second Affiliated Hospital of Southeast University,Nanjing 210003,China)

机构地区：[1]东南大学第二附属医院,江苏南京210003 [2]南京医科大学第二附属医院

出　　处：《中外医学研究》2018年第33期122-124,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析高血压急症的临床特点,提高对高血压急症的认识水平。方法:对46例高血压急症患者的相关危险因素、临床症状、心电图、超声心动图等结果进行分析。结果:46例高血压急症患者中有相关危险因素分别为高血压家族史16例(34.78%),吸烟13例(28.26%),肥胖9例(19.56%)。主要临床症状是头晕39例(84.78%),头痛21例(45.65%),胸痛13例(28.26%),胸闷12例(26.09%),其他症状包括心悸、肢体无力、肢体麻木、视物模糊、晕厥。46例患者中1例患者死亡,其余45例患者治疗后病情稳定出院。结论:高血压急症需要及早诊断、迅速降低血压,同时治疗心、脑、肾重要靶器官的并发症,从而降低致死致残率。Objective：To analyze the clinical features of hypertensive emergencies and improve the understanding of hypertensive emergencies. Method：The risk factors, clinical symptoms,electrocardiogram（ECG） and echocardiography from 46 cases of hypertensive emergencies were analyzed. Result：Among the 46 patients, the risk factors were family history of hypertension for 16 cases（34.78%）,smoking for 13 cases（28.26%） and obesity for 9 cases（19.56%）.The main clinical symptoms were dizziness for 39 cases（84.78%）,headache for 21 cases（45.65%）,chest pain for 13 cases（28.26%） and chest tightness for 12 cases（26.09%）.Other symptoms included palpitation,limb weakness,limb numbness,blurred vision and syncope.Of all the 46 hypertensive emergencies patients,1 case of patient died,and the other patients were discharged in stable conition after treatment.Conclusion：The hypertensive emergencies required early diagnosis and rapid reduction of blood pressure,as well as the treatment to complications in the important target organs of heart,brain,kidney,so as to reduce the rate of mortality and disability.

关 键 词：高血压急症 并发症 诊断 治疗 

分 类 号：R544.1[医药卫生—心血管疾病]