子痫前期并发高血压脑病的诊断和处理

Diagnosis and management of preeclampsia complicated with hypertensive encephalopathy

子痫前期并发高血压脑病是一种较为少见的高血压急症,主要表现为严重的、突然的血压上升,伴有脑水肿及脑循环功能障碍的症状和体征。高血压脑病的诊断需要先排除导致中枢神经系统功能障碍的其他原因,通常静脉降压治疗效果显著,及时处理一般预后良好。

Preeclampsia complicated with hypertension encephalopathy is a less commonly encountered type of hypertensive emergency,highlighted by severely elevated blood pressure,accompanied by cerebral edema and the signs and symptoms of brain circulation dysfunction.The diagnosis of hypertensive encephalopathy requires the first elimination of other causes of central nervous system dysfunction.Usually,intravenous antihypertensive treatment has a significant effect,and timely treatment generally has a good prognosis.