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长期高血压病人的脑循环自动调节机制下限升高,不适当降压常可导致脑缺血性中风,二年来我院接收此类转诊病人5例,报道如下。例1.女性,56岁,高血压史10年。病前 BP36/15.6kPa,肌注利血平1mg。8小时后入院,BP15.2/11.5kPa,右肌力Ⅳ°,右Babinski(+),头颅 CT 正常。治疗一周后痊愈。平均动脉压下降幅度48.26%,诊断为RIND。
Long-term hypertensive patients with lower limit of the automatic adjustment of cerebral circulation increased, inappropriate blood pressure can often lead to ischemic stroke, hospital two years to receive such referrals in 5 cases, reported below. Example 1. Female, 56 years old, history of hypertension for 10 years. Pre-sick BP36 / 15.6kPa, intramuscular injection of reserpine 1mg. Admitted to hospital after 8 hours, BP15.2 / 11.5kPa, right arm IV °, right Babinski (+), head CT normal. Healed after a week of treatment. Mean arterial pressure decreased by 48.26%, diagnosed as RIND.