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目的:探讨老年高血压危象的临床急救治疗措施。方法:回顾并分析我院于2012年1月至2013年1月接收的200例老年高血压危象患者的临床资料,将行院前急救的100例患者记为观察组,而将未行院前急救的100例患者作为对照组。入院后,两组患者均进行快速平稳降压和预防抽搐以及防治脑水肿等的临床抢救措施,对比分析两组患者并发症的发生率以及死亡率。结果:观察组患者中,发生急性左心衰的为2例,一过性脑出血为5例,经医务人员的积极抢救,不存在死亡病例,并发症的发生率为7%,死亡率则为0%;对照组患者中,并发脑出血的为3例,急性左心衰为3例,肾脏损害为1例,死亡为2例,并发症的发生率为7%,死亡率为2%。结论:对高血压患者行积极的健康教育,引导其在发生高血压危象时及时地进行初步的院前的急救,尽快地降低血压,并且积极地给予快速平稳的降压和防治脑水肿等临床治疗措施,能够显著地减少并发症的发生率以及死亡率,可以有效地保障患者的生命安全。
Objective: To investigate the clinical emergency treatment of hypertensive crisis in the elderly. Methods: The clinical data of 200 elderly patients with hypertensive crisis received in our hospital from January 2012 to January 2013 were retrospectively analyzed. 100 patients in pre-hospital emergency care were recorded as observation group, The first aid of 100 patients as a control group. After admission, the two groups of patients were rapid and steady antihypertensive and prevention of seizures and prevention and treatment of brain edema and other clinical rescue measures, comparative analysis of the incidence of complications in both groups of patients and mortality. Results: In the observation group, there were 2 cases of acute left heart failure and 5 cases of transient intracerebral hemorrhage. After medical staff’s active rescue, there were no deaths, the complication rate was 7% and the mortality rate was Was 0%. In the control group, there were 3 cases of intracerebral hemorrhage, 3 cases of acute left heart failure, 1 case of kidney damage and 2 cases of death. The complication rate was 7% and the mortality rate was 2% . Conclusion: Active health education should be given to patients with hypertension to guide them in the first prehospital emergency first aid, reduce blood pressure as soon as possible in the event of hypertensive crisis, and actively give rapid and steady blood pressure reduction and control of brain edema Clinical treatment can significantly reduce the incidence of complications and mortality, which can effectively protect the patient’s life safety.