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老年高血压危象患者的急诊治疗分析
引用本文:陈亚想,郭东辉,陈山,王金福. 老年高血压危象患者的急诊治疗分析[J]. 河北医学, 2011, 17(2): 183-185. DOI: 10.3969/j.issn.1006-6233.2011.02.017
作者姓名:陈亚想  郭东辉  陈山  王金福
作者单位:1. 广东省深圳市观澜人民医院,广东,深圳,518000
2. 广东省深圳市龙华人民医院,广东,深圳,518110
摘    要:目的:探讨老年高血压危象的急救治疗措施.方法:对2007年1月至2010年9月本科室收治的106例老年高血压危象患者进行回顾性总结分析.将56例进行院前急救的患者作为观察组,50例未进行院前急救的作为对照组.两组患者入院后均给予快速平稳降压、预防抽搐、防治脑水肿等的抢救措施,统计其并发症发生率和死亡率.结果:观察组患者...

关 键 词:高血压危象  老年  急诊治疗  院前急救

The Emergency Treatment for Elderly Patients with Hypertensive Crisis
Affiliation:CHEN Yaxiang,et al(Guanlan People’s Hospital in Shenzhen,Guangdong Shenzhen 518000,China)
Abstract:Objective: To analyse the crisis first aid treatment of hypertensive in elderly.Method: From January 2007 to September 2010 the 106 undergraduate rooms treated hypertensive crisis elderly patients were retrospectively analyzed.56 cases were patients with first aid as the observation group,50 patients did not carry out first aid as a control group.Two groups of patients were given rapid and smooth after admission blood pressure,prevent seizures,brain edema,the rescue control measures,statistical incidence of complications and mortality.Result: The patients with acute left heart failure occurred in 1 case,transient cerebral hemorrhage in 5 cases,the active rescue,no death.The complication rate was 10.7%,mortality rate was 0.Control group,patients with cerebral hemorrhage in 3 cases,2 cases of acute heart failure,kidney damage in 1 case,2 died.Complication rate was 12%,mortality rate was 4%.Conclusion: Health education for patients with hypertension,hypertensive crisis to guide their time in the event of an initial emergency care,lower blood pressure as soon as possible,and actively provide rapid and smooth blood pressure,prevention and treatment of cerebral edema and other treatment measures can reduce the complication rate and reduce mortality,protect the lives and safety of patients.
Keywords:Hypertensive crisis  Elderly  Emergency treatment  First aid
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