论文部分内容阅读
那些病人应给予治疗? 美国与英国的研究资料表明,舒张压恒定地高出105毫米汞柱的病人接受治疗可减少患病率与死亡率。药物引起严重的毒性反应并不多见。故对舒张压持续超过100毫米汞柱的所有病人均宜治疗。舒张压在90～100毫米汞柱之间者,处理的意见尚无定论。年龄如在45岁以下,有高血压并发症的家族史或有实质器官的损害(视网膜、心脏、肾脏),即宜治疗。如无上述情况,可观察一年暂不用药,但应减轻体重,降低血胆固醇,停止抽烟,并经常测量血压。治疗的安排噻嗪类利尿药对所有高血压病者都是主要治疗用药,除非有肾功能衰竭使噻嗪类利尿药
Which patients should be treated? Data from the United States and the United Kingdom indicate that treatment of patients with a constant diastolic blood pressure of 105 mm Hg reduces morbidity and mortality. Drugs cause serious toxic reactions are rare. Therefore, all patients with sustained diastolic blood pressure exceeding 100 mmHg should be treated. Diastolic blood pressure between 90 to 100 mm Hg, the treatment of the opinion is inconclusive. If under the age of 45, have a family history of high blood pressure complications or damage to the parenchyma (retina, heart, kidney), that is, should be treated. In the absence of the above, observed for a year without medication, but should lose weight, lower blood cholesterol, stop smoking, and often measure blood pressure. Treatment arrangements thiazide diuretics on all hypertensive patients are the main treatment, unless there is renal failure thiazide diuretics