Hypertension Crisis in the Emergency Department
Hypertension Crisis in the Emergency Department
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DOI：
10.1016/j.ccl.2012.07.011
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发表时间：
2012-11-01
影响因子：
2.4
通讯作者：
Patel, Ronak
中科院分区：
文献类型：
--
作者：
Johnson, Wallace;My-Le Nguyen;Patel, Ronak
高血压危象，包括高血压急症和急症，是急诊科经常遇到的，需要立即关注，因为它们可能导致不可逆的终末器官损伤。正常的血压（BP）调节在BP急性升高期间改变，导致终末器官损伤。多个器官可能会受伤。对妊娠期高血压患者和术后高血压患者应给予特殊考虑。治疗应根据终末器官损伤的类型和程度、血压升高的程度以及每种药物对患者既存合并症的具体副作用，对每位患者进行个性化治疗。
Hypertensive crises, which include hypertensive emergencies and urgencies, are frequently encountered in the emergency department, and require immediate attention as they can lead to irreversible end-organ damage. Normal blood pressure (BP) regulation is altered during acute rises in BP, leading to end-organ damage. Multiple organs can be injured. Special considerations should be given to hypertensive pregnant patients and patients with postoperative hypertension. Treatment should be individualized to each patient based on the type and extent of end-organ damage, degree of BP elevation, and the specific side effects that each medication could have on a patient's preexisting comorbidities.