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本文报道静注可乐宁(Clonidine hydrochloride)治疗重型高血压病和危及生命的高血压急症11例的结果。 11例中男5,女6;年龄25~70岁,平均54岁;原发性高血压6例,肾性高血压5例;病程1~16年(2例不详)。3例以往未接受过治疗,2例无高血压危象,但于入院时血压分别为270/180及240/150毫米汞柱伴剧烈头痛;余例均属高血压急症,包括脑病4例、重度左心衰竭2例(另2例轻度左心衰竭)、脑出血、主动脉夹层瘤及严重鼻衄各一例。眼底改变,Ⅰ度1例、Ⅱ度5例、Ⅱ~Ⅲ度3例、Ⅲ、Ⅳ度2例。心电图和X线检查均显示有不同程度的左心室
This article reports the results of 11 patients with Hypertension and life-threatening Hypertension treated with Clonidine hydrochloride. 11 cases of male 5, female 6; aged 25 to 70 years, mean 54 years; 6 cases of essential hypertension, 5 cases of renal hypertension; duration of 1 to 16 years (2 cases unknown). Three patients were previously untreated and two had no hypertensive crisis. However, their blood pressure at admission was 270/180 and 240/150 mmHg with severe headache. The remaining cases were both of acute hypertension, including 4 cases of encephalopathy, 2 cases of severe left heart failure (the other 2 cases of mild left heart failure), cerebral hemorrhage, aortic dissection and severe epistaxis in each case. Fundus changes, Ⅰ degree in 1 case, Ⅱ degree in 5 cases, Ⅱ ~ Ⅲ degrees in 3 cases, Ⅲ, Ⅳ degrees in 2 cases. ECG and X-ray examination showed varying degrees of left ventricular