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本文报道了我院十年来(1975年1月-1984年12月)住院高血压病人1278例,其中老年期490例,老年前期540例,对二组患者的临床资料进行分析,从中看出老年期高血压的特点:老年期高血压有收缩期高血压倾向,脉压明显增大,这是与动脉硬化,主动脉弹性降低有关。过去那种认为老年收缩期高血压是一种良性过程的看法是错误的。虽然收缩压持续时间短暂,但它较舒张压高的多。我们认为收缩压较舒张压对预后具有更重要的意义。另外,老年高血压临床症状较少,无症状者较多,亦应引起重视。
This article reports the hospital over the past decade (January 1975-December 1984) inpatients with hypertension in 1278 cases, of which 490 cases of elderly, 540 cases of pre-elderly, the clinical data of the two groups were analyzed, which shows that the elderly Hypertension characteristics: senile hypertension systolic hypertension tendency, pulse pressure increased significantly, which is atherosclerosis, aortic elasticity decreased. In the past that the view that elderly systolic hypertension is a benign process is wrong. Although systolic pressure duration is short, it is much higher than diastolic blood pressure. We think systolic blood pressure is more important than prognostic significance. In addition, less clinical symptoms of hypertension, asymptomatic more, should also be taken seriously.