摘要
目的探讨有关高血压危象的评估和处理原则及对高血压危象急诊处理的指导意义。方法依据有关原则对高血压危象进行准确评估和分类，并进行相应处理，观察血压变化和临床预后，评价此类原则的指导作用。结果自2008～01～2008～12依据有关原则对156例高血压危象病例进行了诊断和治疗，其中高血压急症132例，高血压亚急症24例；高血压急症以心脑血管病变为主，包括中风、急性冠脉综合征和急性左室衰竭。依据有关原则进行急诊处理，能够对高血压危象进行准确评估和有效处理，减少诊治失误，降低死亡率并改善预后。结论有关高血压危象的评估和处理原则能够指导高血压危象的急诊处理，取得良好的预后。
Objective To study the principles of evaluation and management of hypertensive crises in order to guide emergency clinical practice. Methods Evaluation, classification and management in patients with hypertensive crises were made according to the principle of evaluation and management of hypertensive crises. The changes of blood pressure and clinical outcome were observed. The effects of those principle were estimated. Results 156 patients with hypertensive crises admitted to our department from January to December 2008 had been diagnosed and treated. There were 132 patients with hypertensive emergencies （ HE ） and 24 hypertensive urgencies （ HU ） in accordance with those principle. Cardio - cerebralvascular diseases were the main symptom of HE including stroke, acute coronary syndrome and acute left ventricular failure. According to those principles, the emergency management was carried out, accuracy evaluation and effective management of hypertensive crises could reduce wrong diagnosis and treatment, decrease mortality and improve prognosis. Conclusion The principle of evaluation and management of hypertensive crises could guide the emergency management of hypertensive crises and obtain better prognosis.
出处
《中国急救医学》
CAS
CSCD
北大核心
2009年第5期397-400,共4页
Chinese Journal of Critical Care Medicine
基金
广州科技局项目（No.2008KP027）
关键词
高血压危象
急症
评估
处理
Hypertensive crises
Emergency
Evaluation
Management
