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作者收冶22例高血压老年患者不适当降压后发生的急性脑梗塞,该组病例特点为高龄,平均年龄63.71±8.83岁;有长期高血压史(3~30a);除2例外均为胃肠外给药;降压幅度大,除1例39.41%外,其余均>40%,最高述63.15%;用药后多数病例平均动脉压(MABP)≤10.55kPa。22例均于发病3~14d行头颅CT检查,16例有梗塞灶;另6例CT未见异常,仅有神经系统缺损症状(2~3周消失),诊断为
The authors collected 22 cases of hypertensive elderly patients with inappropriate cerebral infarction occurred after inappropriate decompression, the group of patients characterized by advanced age, mean age 63.71 ± 8.83 years; have a long history of hypertension (3 ~ 30a); except for 2 cases were Parenteral administration; blood pressure range, except 1 case of 39.41%, the other were> 40%, the highest described 63.15%; the majority of cases after treatment, the mean arterial pressure (MABP) ≤ 10.55kPa. Twenty-two of the 22 patients had head CT examination at 3 ~ 14 days after onset, and 16 patients had infarction. The other 6 patients showed no abnormal CT and had only neurological deficit (disappeared in 2 ~ 3 weeks)