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假性高血压和假性高血压现象是指袖带间接法测定的血压低于血管内直接的定值的临床上的疾病和现象。及时发现和确诊是关键。老年人、糖尿病病史较长、慢性肾脏病及动脉硬化严重等患者中易发生假高血压。正确的血压测定对确诊至关重要。一些辅助检查可以帮助诊断,如:直接血压测定、血管影像学检查等,而传统的Olser法可能对诊断的意义有限。假性高血压在降压治疗时应避免过度降压。
The phenomenon of pseudo-hypertension and pseudo-hypertension refers to clinical diseases and phenomena in which the blood pressure is lower than the direct intravascular value as determined by cuff indirect method. Timely detection and diagnosis is the key. Elderly people, diabetes, a long history of chronic kidney disease and atherosclerosis in patients prone to false-prone hypertension. Correct blood pressure measurement is crucial for diagnosis. Auxiliary examination can help diagnose, such as: direct blood pressure, vascular imaging examination, etc., while the traditional Olser method may have limited diagnostic significance. Hypotensive hypertension should be avoided in the antihypertensive treatment.