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作者于1950年毕业于医学部,可以说是和战后日本医学同时成长起来的。那时对高血压尚无积极的治疗方法,只是给镇静药或采取静脉放血(用注射器抽血)。从1951年起已经能在临床上应用具有降压作用很强的神经节阻断药。此后相继研制了许多药物,尤其是近十年来这个领域的进展非常显著。而医生对降压疗法的认识也在发生变化。开始出现的神经节阻断药降压效果好,但副作用大,现已淘汰。除血压极高而濒于危险的情况一般很少使用,但这种病例几乎没有。这是因为近年来相继研制出许多副作用小并且容易使用的药物。目前,降压药的种类很多。根据怎样发挥药效即根据作用机理分为利尿药、交感神经抑制药、血管扩张药、钙拮抗药、血管紧张素阻断药等。
The author graduated from the Faculty of Medicine in 1950 and can be said to have developed simultaneously with postwar Japanese medicine. At that time there is no active treatment for high blood pressure, just to sedatives or to take venous blood (using a syringe to draw blood). From 1951 onwards, it has been able to clinically apply antihypertensive ganglion blockers. Since then, many drugs have been developed, especially in the past decade the progress of this area is very significant. The doctor’s understanding of antihypertensive therapy is also changing. The beginning of ganglion blockade antihypertensive effect, but the side effects, has now been eliminated. In addition to high blood pressure on the brink of danger are rarely used, but this case is almost no. This is because in recent years, many side effects have been developed and easy to use drugs. At present, many types of antihypertensive drugs. According to how to play the efficacy that is based on the mechanism of action is divided into diuretics, sympathetic inhibitory drugs, vasodilators, calcium antagonists, angiotensin-blocking drugs.