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題名 | 高血壓急症的處置=Management of Hypertension Crisis |
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作者 | 許志新; 蔡惟全; 蔡良敏; 趙庭興; 黃耀毅; 林惠文; 李貽恆; Hsu, Chih-hsin; Tsai, Wei-chuan; Tsai, Liang-minn; Chao, Ting-hsin; Huang, Yao-yi; Lin, Hui-wei; Li, Yi-heng; |
期刊 | 中華民國重症醫學雜誌 |
出版日期 | 20031200 |
卷期 | 5:4 2003.12[民92.12] |
頁次 | 頁284-290 |
分類號 | 415.382 |
語文 | chi |
關鍵詞 | 高血壓急症; 高血壓危象; 抗高血壓藥物; 高血壓; Hypertension crisis; Anti-hypertension agent; Hypertension; |
中文摘要 | 高血壓急症是指控制鎮不良的高血壓合併著器官損害,血壓突然上升引起的症狀,比血壓的絕對數值更為重要。有時會伴隨著高血壓腦病變,主動脈剝離,心衰竭,肺水腫等嚴重併發症。詳細的病史詢問和理學檢查,加護病房的密切監測,短效而快速的靜脈注射藥物使用,如sodium nitroprusside, labetalol, fenoldopam mesylate等,及早將血壓降低至適當範圍。控制穩定後,加上長期口服降血壓藥物,將會有效減少高血壓急症所帶來的併發症。 |
英文摘要 | Hypertensive emergency is a situation in which uncontrolled hypertension is associates with acute end-organ damage. It sometimes combines with severe complication, like hypertensive encephalopathy, aortic dissection, heart failure with acute lung edema. The history and physical examination can be used for the valuation of nature and severity of hypertension and determination of subsequent management of acute hypertensive syndromes. The patient should be admitted to an intensive care unit with blood pressure monitoring and parietal pressure-lowing drugs to reduce blood pressure in a safe range within several minutes to one hour. Appropriate antihypertensive medication followed by long-term hypertension control is warranted in these patients for reducing mortality and morbidity. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。