近数年虽强调收缩压在血管疾病死亡率及发病率中有相对较大的重要性,但认为舒张压是反映血管疾病严重性的观点仍很普遍。要找出确定舒张压占有支配地位,凌驾于收缩压之上的证据是徒劳无益的;这一观点的来源也无从查考。但人们要问,常规监测舒张压是否合宜或必要。 1960年以前一般注意的是舒张压;假如舒张压为90或不到90毫米汞柱,收缩压虽上升,可不必重视。重要的是舒张压。神经病学家早就认识到这种说法的错误,因为致死性脑出血病人收缩 In recent years, although the emphasis on systolic blood pressure in the mortality and morbidity of vascular disease has a relatively large importance, it is still widely accepted that diastolic blood pressure is a measure of the severity of vascular disease. It is invaluable to find evidence that dominance of diastolic blood pressure prevails over systolic blood pressure; the source of this view is beyond examination. But people have to ask, routine monitoring of diastolic blood pressure is appropriate or necessary. Before 1960, the general attention is the diastolic blood pressure; if the diastolic blood pressure is 90 or less 90 mm Hg, systolic blood pressure may rise, you do not have to pay attention. Important is diastolic pressure. Neurologists have long recognized this error because fatal ICH patients contract