高血压脑病是急诊科常见危重病症,若不及时处理常危及生命。随着血管扩张剂的广泛使用,硝普钠治疗高血压脑病获得了显著的疗效。本院急诊科近6年来应用硝普钠抢救高血压脑病32例。男22例,女10例;年龄49～86岁,平均66岁。32例均有典型临床表现,血压突然或短期内明显升高,均伴有剧烈头痛、恶心、呕吐,19例有神志改变,其中6例出现昏迷,2例有间断抽搐,1例呈癫痫样发作。22例进行了眼底检查,18例有视网膜小动脉痉挛。治疗方 Hypertensive encephalopathy is a common critical illness in emergency department, if not promptly deal with life-threatening. With the widespread use of vasodilators, sodium nitroprusside has shown significant efficacy in the treatment of hypertensive encephalopathy. Our hospital emergency department nearly six years of application of sodium nitroprusside in the treatment of hypertensive encephalopathy in 32 cases. 22 males and 10 females; aged 49 to 86 years, mean 66 years. 32 cases had typical clinical manifestations, blood pressure was significantly increased in a sudden or short-term, were associated with severe headache, nausea, vomiting, 19 patients with mental changes, of which 6 cases coma, intermittent convulsions in 2 cases, 1 case of epileptiform attack. 22 cases of fundus examination, 18 cases of retinal artery spasm. Treatment side