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本文报道老年期高血压74例,男49冽,女25例.平均年龄为68.4岁.临床特点:(1)病程进展缓慢,症状多不典型.(2)多数为收缩期高血压或收缩压优势高血压.(3)合并症多,尤以心,脑血管病变者多.临床类型归纳为三类:(1)单纯收缩期高血压29例(39.2%);(2)收缩压优势高血压12例(16.2%);(3)经典型高血压33例(44.6%).根据高血压类型选用降血压制剂治疗,大部分患者取得满意降压效果,唯有8例并发严重脑、肾病变者,曾因降压失度而影响预后.本文并就老年高血压病的特殊性,对其诊断治疗方面若干问题作了讨论.
This article reports 74 cases of senile hypertension, male 49 冽, 25 females with an average age of 68.4 years old.Clinical features: (1) the course of slow progression, atypical symptoms and more. (2) Most of the systolic hypertension or systolic blood pressure (3) more complications, especially in patients with heart and cerebrovascular disease.Clinical types are grouped into three categories: (1) systolic hypertension in 29 cases (39.2%); (2) high systolic blood pressure Blood pressure in 12 cases (16.2%); (3) 33 cases of classic hypertension (44.6%) .Hypertension type selection of antihypertensive agents, most patients achieved satisfactory antihypertensive effect, only 8 cases of severe brain and kidney disease Has changed, because of decompression loss and affect the prognosis.This article and the particularity of the elderly with hypertension, the diagnosis and treatment of a number of issues were discussed.