摘要
目的探讨高血压危象评估和处理原则及对高血压危象急诊处理的指导意义。方法依据高血压危象评估和处理原则对2008年1月2009年12月期间收治的160例高血压危象患者进行诊断和治疗。结果 160例高血压危象患者中,高血压急症134例,高血压亚急症26例。高血压急症中,以心脑血管病变为主,包括脑卒中、急性冠脉综合征和急性左侧心力衰竭。依据高血压危象评估和处理原则进行急诊处理,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 investigate the principles of evaluation and management of hypertensive crises in order to guide emergency clinical practice for better managements and prognosis.Methods One hundred and sixty patients with hypertensive crises admitted to our department from January 2008 to December 2009 had been diagnosed and treated.Results There were 134 patients with hypertensive emergencies（HE）and 26 patients with hypertensive urgencies（HU）in accordance with those principle.Cardio-cerebral-vascular 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
《华西医学》
CAS
2010年第4期673-675,共3页
West China Medical Journal
关键词
高血压危象
急症
评估
处理
Hypertensive crises
Emergency
Evaluation
Management
