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观察了起病24小时内入院,CT确诊的166例脑梗塞急性期血压变化。结果显示:入院24小时内血压下降幅度最大,收缩压平均下降2.3kPa,舒张压平均下降1.0kPa。1周内血压仍在下降,以后稳定。入院时血压高的患者,有73%在1周内下降到21.3/12.7kPa以下。血压下降与脑血管的自动调节功能受损及应用脱水利尿剂有关。还就降血压药物的应用原则进行了讨论。
A total of 166 acute cerebral infarction patients admitted to hospital within 24 hours after onset were diagnosed. The results showed that: within 24 hours of admission, the largest decline in blood pressure, systolic blood pressure decreased 2.3 kPa average, diastolic blood pressure decreased by an average of 1.0 kPa. Blood pressure is still declining in 1 week and stable afterwards. 73% of patients with high blood pressure at admission dropped below 21.3 / 12.7kPa in 1 week. Decreased blood pressure and cerebral vascular autonomic dysfunction and the application of dehydrated diuretics. Also discussed the application of antihypertensive drugs are discussed.