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高血压急症治疗应关注肺循环 被引量:2

Pulmonary circulation should be paid more attention to the treatment of hypertensive emergencies
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摘要 本文探讨了肺循环在高血压急症治疗中的作用及血管扩张剂的临床应用要点,主要内容有体循环与肺循环之间的压力差异与相互关系,肺循环的凋控结构中两个“泵”(左心、有心),两个理论上的“阀门”(肺动脉、肺静脉)以及肺血管状态对整个循环的影响;提出了高血压急症的治疗应以个体化为原则,病理生理为导向,还要充分考虑各类高血压患者基础肺循环状态的不同,各种血管扩张剂对肺循环影响的差异,及体循环与肺循环间的相互作用等因素。 This article investigated the effects of pulmonary circulation in the treatment of hyper- tensive emergencies and the key points of vasodilator application. The main contents included the pressure difference between pulmonary and body circulations, include it's meaning and correlation, and the effects on the whole circulation of the regulator structures in pulmonary circulation, two pumps ( left and right heart ) , two theoretical valves ( pulmonary artery and vein ) and the situation of the lung vessels. Thus the patient' s treatment principal is personality or individuality, the treatment guide is the disease' s patho-physiology, while the basic situation of pulmonary circulation in the different cause hypertension, the vaso- dilator differences on the pulmonary circulation, the interaction between the body and pulmonary circulation and other factors should be considered totally in the treatment of hypertensive emergencies.
作者 孟庆义
出处 《中国急救医学》 CAS CSCD 北大核心 2009年第2期145-147,共3页 Chinese Journal of Critical Care Medicine
关键词 高血压 急症 肺循环 血管扩张剂 Hypertensive emergencies Pulmonary circulation Vasodilator
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  • 1孟庆义主编,马勇等编著..急性心肌梗死[M].北京:科学技术文献出版社,2005:427.
  • 2Galie N, Torbieki A, Barst R, et al. Guidelines on diagnosis and treatment of pulmonary arterial hypertension [ J ]. European Heart Journal, 2004, 25 (24) :2243 - 2278. 被引量:1

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