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在高血压脑内出血的急性阶段正常压力状态

Sucharita Anand¹, Surjyaprakash Shivnarayan Choudhury², Sunil Pradhan³

¹Department of Neurology, All India Institute of Medical Sciences (AIIMS) Jodhpur, Jodhpur, Rajasthan, India.

Journal of neurosciences in rural practice

|September 11, 2023

概括

一些高血压患者在急性脑内出血 (ICH) 期间可能有正常血压. 随后的血压监测对于了解这些高血压患者的结果至关重要.

科学领域:

神经学神经学
心脏病学心脏病学
关键护理医学关键护理医学

背景情况:

高血压出血是脑内出血 (ICH) 的主要原因.
一些患有高血压的患者在出现ICH时可能不会表现出高血压 (BP).

研究的目的:

调查脑内出血 (ICH) 患者的临床特征和结果,这些患者有高血压病史.
在有过高血压病史的患者中,区分高血压和正常血压的ICH表现.

主要方法:

对92名有高血压病史的ICH患者进行了回顾性研究.
根据血压读数,患者被分为三组:I组 (静脉血压>140毫米升),II组 (血压在液体调整后升至高血压范围),III组 (血压<140毫米升1周).
分析ICH体积和死亡率,使用Chi-square和独立t测试.

主要成果:

22%的高血压患者呈现了静缩血压<140 mmHg.
在最初血压正常的人中,10%的血压在液体调整后升高,12%的血压在一周内保持正常.
在正常血压和高血压组之间观察到生存率和ICH体积的显著差异.

结论:

一部分高血压患者在急性ICH期间可能出现血压正常.
在一些患者的液体校正后,血压可能会正常化,而另一些患者的血压仍然是正常的.
需要进一步的研究来确定在正常血压的ICH患者中较小的出血量是否与更好的预后相关.

关键词:

血压血压血压血压在高血压的高血压.脑内出血脑内出血规范性压力是正常的

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