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目的探讨脑出血急性期血压增高后应用降压药物的治疗体会。方法 80例脑出血患者,按急性期增高的血压不同级别(分为收缩压>200 mm Hg,160～200 mm Hg,<160 mm Hg,1 mm Hg=0.133 kPa)应用不同降压方法(含服硝苯地平,静脉推注速尿,静脉滴注硝普钠)。结果 80例患者,除2例死于脑疝,其余患者均能控制于理想范围。结论脑出血急性期高血压的治疗应慎重,如无严重并发症,以不使用降压药物为宜,需迅速降压者,应在密切观察病情下进行,避免过度降压。
Objective To investigate the therapeutic effect of antihypertensive drugs after acute increase of blood pressure in patients with intracerebral hemorrhage. Methods Eighty patients with cerebral hemorrhage were divided into two groups according to different levels of blood pressure (systolic blood pressure> 200 mm Hg, 160-200 mm Hg, <160 mm Hg, 1 mm Hg = 0.133 kPa) Nifedipine, intravenous furosemide, intravenous sodium nitroprusside). Results 80 patients, except two died of herniation, the remaining patients can control the ideal range. Conclusions The treatment of acute cerebral hemorrhage should be cautious in the treatment of hypertension. If there is no serious complication, it is advisable not to use antihypertensive drugs. Those who need immediate antihypertensive treatment should be under close observation to avoid excessive blood pressure lowering.