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目的探讨高血压危象的急诊救治方案。方法回顾性分析130例高血压危象患者的临床资料。结果 130例均静脉泵入硝酸甘油降压。治疗前血压为(204.56±10.46/112.64±15.35)mmHg,治疗后1h血压为(160.39±15.47/87.10±16.27)mmHg,症状缓解停药时血压为(148.25±16.74/84.32±13.37)mmHg,治疗后血压与治疗前比较均有显著下降(P<0.05)。结论及时、平稳、合理降压,避免靶器官进一步损害,是救治高血压危象的关键。
Objective To investigate the emergency treatment of hypertensive crisis. Methods Retrospective analysis of 130 cases of hypertensive crisis in patients with clinical data. Results All patients underwent intravenous nitroglycerin depressurization. The blood pressure before treatment was (204.56 ± 10.46 / 112.64 ± 15.35) mmHg, and the blood pressure was (160.39 ± 15.47 / 87.10 ± 16.27) mmHg at 1h after treatment. The blood pressure was (148.25 ± 16.74 / 84.32 ± 13.37) mmHg after treatment. After blood pressure and before treatment were significantly decreased (P <0.05). Conclusions Timely, stable and reasonable depressurization to avoid further damage to target organ is the key to rescue hypertensive crisis.