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我们用口服卡托普利治疗老年人高血压伴心绞痛43例,取得满意疗效,现报告如下。资料与方法老年人高血压伴心绞痛患者43例均符合1979年全国会议制定标准,男28例、女15例、年龄60～76岁,平均64.9岁。就诊时收缩压21.33～33.33kPa、舒张压12.67～18.67kPa.符合高血压急症10例,劳力型心绞痛27例,初发型心绞痛8例,自发型心绞痛6例,梗塞后心绞痛2例。观察前停用其他抗心绞痛药物至少1周,口服卡托普利25mg,tid,疗效不满意者增至37.5mg,tid,总疗程4周。高血压急症伴心绞痛,则予舌下含化25mg,以后改口服25mg,tid。疗效评定按1979年全国会议制定标准。
We use oral captopril treatment of hypertension in elderly patients with angina in 43 cases, and achieved satisfactory results, are as follows. Materials and Methods All 43 elderly patients with hypertension and angina pectoris met the criteria set by the 1979 National Conference. There were 28 males and 15 females, aged from 60 to 76 years, with an average of 64.9 years. Treatment when systolic 21.33 ~ 33.33kPa, diastolic 12.67 ~ 18.67kPa. Hypertension 10 cases meet emergency, 27 cases of angina, early onset angina 8 cases, 6 cases of spontaneous angina pectoris, postinfarction angina two cases. Observation before the withdrawal of other anti-angina drugs for at least 1 week, oral captopril 25mg, tid, the effect was not satisfied to 37.5mg, tid, the total course of 4 weeks. Hypertensive emergency with angina, the sublingual 25mg, later changed oral 25mg, tid. Efficacy evaluation according to the 1979 National Conference to develop standards.