论文部分内容阅读
异搏停治疗高血压急症３０例太原化肥厂医院（０３００２１）高东来山西省纺织科学研究所卫生所卢玉卿本文对３０例高血压急症静脉应用异搏停，现将结果报告如下。材料和方法高血压急症３０例，其中男１８例，女１２例。年龄３０～８１岁（平均５８岁）。均为住院及急诊室观察者，在高血压病的基础上，收缩压≥２６．７ｋＰａ及（或）舒张压≥１６ｋＰａ，心率≥６０次／分，无心力衰竭及传导阻滞。合并高血压危像１２例，高血压脑病６例，用药观察前２４小时内均未用其它降压药物。患者平卧５分钟后，采用袖带式血压计测定右肪动脉血压，同时测定心率，做心电图。将异搏停５～１０ｍｇ加入１０％葡萄糖液１０ｍｌ中３～５分钟静注完毕，继以０．２５～０．３ｍｇ／分维持静脉点滴１００分钟。在用药后即刻和用药后５、１０、１５、３０、６０、１２０分钟分别测量血压、心率，并进行临床观察。１０例血压监测达２４小时。结果静注异搏停１分钟时血压显著下降，５～１０分钟血压进降低，２０分钟时血压轻度回升，持续静点１００分钟血压持续降低。静点异搏停１时后平均血压由用药前２７．９±２．４／１６．４±１．２ｋＰａ降至２３．８±２．２／１２．８±１．６ｋＰａ。收缩压下降最大幅度为８．７
Verapamil for the treatment of 30 cases of emergency hypertensive hospital Taiyuan Chemical Fertilizer Plant (030021) High East to Institute of Textile Science Institute of Shandong Lu Yuqing 30 cases of hypertensive emergency intravenous verapamil, the results reported below. Materials and Methods 30 cases of hypertensive emergency, including 18 males and 12 females. Age 30 to 81 years (mean 58 years). Both hospital and emergency room observers, based on hypertension, systolic blood pressure ≥ 26.7kPa and / or diastolic blood pressure ≥ 16kPa, heart rate ≥ 60 beats / min, no heart failure and conduction block. There were 12 cases of hypertension crisis and 6 cases of hypertensive encephalopathy. No other antihypertensive drugs were used within 24 hours before medication observation. 5 minutes after supine patients, the use of cuff-type sphygmomanometer determination of right aortic blood pressure, heart rate at the same time, do electrocardiogram. The verapamil stop 5 ~ 10mg 10% glucose solution 10ml in 3 to 5 minutes intravenously, followed by 0.25 ~ 0.3mg / min to maintain intravenous drip 100 minutes. Blood pressure and heart rate were measured immediately after treatment and at 5, 10, 15, 30, 60 and 120 minutes after treatment and clinical observation. 10 cases of blood pressure monitoring up to 24 hours. Results intravenous injection of 1 minute stop bleeding when significantly decreased blood pressure, 5 to 10 minutes lower blood pressure, blood pressure rose slightly at 20 minutes, sustained static point 100 minutes continued to decrease blood pressure. The mean blood pressure decreased from 27.9 ± 2.4 / 16.4 ± 1.2kPa to 23.8 ± 2.2 / 12.8 ± 1.6kPa before 1-hour intravenous injection. Systolic blood pressure decreased by a maximum of 8.7