摘要
目的:分析急性降血压治疗不当诱发脑分水岭梗死的临床特点。方法:回顾分析18例降血压治疗不当诱发脑分水岭梗死患者血压降低幅度、红细胞比积、血小板计数、纤维蛋白原定量、血浆渗透压的变化特点及对分水岭脑梗死的影响。结果:脑分水岭梗死与过度降血压、利尿及脱水治疗导致血液浓缩、血浆渗透压升高等相关。结论:急性快速过度降血压治疗易诱发脑分水岭梗死,临床应高度重视,降低医源性脑分水岭梗死的发生率。
Objective： To analyze presentations of cerebral watershed infarction induced by inappropriate abrupt antihypertensive therapy. Methods： The extent of reduction of blood pressure, increase of hnernatocrit, platelet oount, blood fibrinogen and plasma osmotic pressure were measured and retrospectively analyzed in 18 patients with watershed infarction before and after stroke, and the influencing factors were investigated. Results： Cerebral watershed infarction were strongly related to abrupt lowering of blood pressure, high hematocrit and increased plasma osmotic pressure due to diuresis and dehydration therapy. Conclusions： Inappropriate abrupt antihypertensive therapy is lable to induce watershed infarction and attention should be paid to reduce the incidence of the diseas.
出处
《内科急危重症杂志》
2005年第4期171-172,175,共3页
Journal of Critical Care In Internal Medicine
关键词
降血压治疗
脑分水岭梗死
Antihypertensive therapy Cerebral watershed infarction
