{"id":39956,"date":"2018-08-21T01:00:00","date_gmt":"2018-09-17T06:36:50","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/2018\/09\/17\/%e4%b8%80%e4%be%8b%e8%a2%ab%e8%af%af%e8%af%8a%e4%b8%ba%e3%80%8c%e7%97%85%e6%af%92%e6%80%a7%e8%84%91%e7%82%8e%e3%80%8d%e7%9a%84%e9%ab%98%e8%a1%80%e5%8e%8b%e8%84%91%e7%97%85\/"},"modified":"2018-09-17T14:36:51","modified_gmt":"2018-09-17T06:36:51","slug":"%e4%b8%80%e4%be%8b%e8%a2%ab%e8%af%af%e8%af%8a%e4%b8%ba%e3%80%8c%e7%97%85%e6%af%92%e6%80%a7%e8%84%91%e7%82%8e%e3%80%8d%e7%9a%84%e9%ab%98%e8%a1%80%e5%8e%8b%e8%84%91%e7%97%85","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/39956\/","title":{"rendered":"\u4e00\u4f8b\u88ab\u8bef\u8bca\u4e3a\u300c\u75c5\u6bd2\u6027\u8111\u708e\u300d\u7684\u9ad8\u8840\u538b\u8111\u75c5"},"content":{"rendered":"
\n

\u75c5\u4f8b\u7b80\u4ecb<\/span><\/strong><\/p>\n


<\/p>\n

\u60a3\u8005\u7537\uff0c45 \u5c81\uff0c\u56e0\u7a81\u8d77\u5934\u75db\u3001\u7cbe\u795e\u5f02\u5e38 5 \u5929\u5165\u9662\u3002\u60a3\u8005\u4e8e 5 \u5929\u524d\u52b3\u7d2f\u3001\u53d7\u51c9\u540e\u51fa\u73b0\u5934\u75db\uff0c\u7cbe\u795e\u5f02\u5e38\uff0c\u80e1\u8a00\u4e71\u8bed\uff0c\u4e0d\u8ba4\u8bc6\u719f\u4eba\uff0c\u6709\u65f6\u7b54\u975e\u6240\u95ee\u3002\u65e0\u53d1\u70ed\u3001\u62bd\u6410\u53ca\u610f\u8bc6\u969c\u788d\u3002<\/p>\n


<\/p>\n

\u5165\u9662\u540e\u6d4b\u8840\u538b 180\/130 mmHg\uff0c\u5916\u9662\u884c\u5934\u90e8 CT \u793a\u5f25\u6f2b\u6027\u8111\u6c34\u80bf\u53ef\u80fd\u3002\u884c\u8170\u7a7f\u68c0\u67e5\uff1a\u7ec6\u80de\u603b\u6570 12\u00d7106\/L\uff0c\u767d\u7ec6\u80de 6\u00d7106\/L\uff0c\u86cb\u767d\u8d28 0.54 g\/L\u3002<\/p>\n


<\/p>\n

\u8bca\u65ad\uff1a\u75c5\u6bd2\u6027\u8111\u708e\u3002<\/p>\n


<\/p>\n

\u4e88\u4ee5\u6297\u75c5\u6bd2\u3001\u8131\u6c34\u7b49\u6cbb\u7597\u540e\uff0c\u60a3\u8005\u4ecd\u5934\u75db\u660e\u663e\u3002\u8f6c\u5165\u6211\u533b\u9662\uff0c\u6d4b\u8840\u538b 160\/90 mmHg, \u884c\u5934\u90e8 MRI \u793a\u989d\u3001\u9876\u3001\u6795\u53f6\u76ae\u8d28\u53ca\u76ae\u8d28\u4e0b\u5f25\u6f2b\u6027\u957f T1\u3001\u957f T2 \u4fe1\u53f7\u3002<\/p>\n


<\/p>\n

\u8ffd\u95ee\u75c5\u53f2\uff0c\u60a3\u8005\u65e2\u5f80\u6709\u9ad8\u8840\u538b\u75c5\u53f2\uff0c\u4e00\u76f4\u4e0d\u89c4\u5f8b\u53e3\u670d\u836f\u7269\u6cbb\u7597\uff0c\u53d1\u75c5\u524d\u56e0\u4e3a\u5de5\u4f5c\u5fd9\u788c\uff0c\u7ecf\u5e38\u5fd8\u8bb0\u53e3\u670d\u964d\u538b\u836f\u7269\u3002<\/p>\n


<\/p>\n

\u8bca\u65ad\uff1a\u9ad8\u8840\u538b\u8111\u75c5\u3002<\/p>\n


<\/p>\n

\u4e88\u4ee5\u964d\u538b\u3001\u6b62\u75db\u7b49\u6cbb\u7597\uff0c2 \u5468\u540e\u60a3\u8005\u590d\u67e5\u5934\u90e8 MRI\uff0c\u539f\u6765\u5f02\u5e38\u75c5\u7076\u660e\u663e\u7f29\u5c0f\u3002<\/p>\n


<\/p>\n

\u8981\u70b9\u5206\u6790<\/strong><\/span><\/p>\n


<\/p>\n

\u8be5\u4f8b\u60a3\u8005\u53d1\u75c5\u524d\u6709\u611f\u5192\u53f2\uff0c\u8d77\u75c5\u6025\uff0c\u4ee5\u5934\u75db\u3001\u7cbe\u795e\u5f02\u5e38\u4e3a\u4e3b\u8981\u8868\u73b0\uff0c\u4e14\u8170\u7a7f\u86cb\u767d\u589e\u9ad8\uff0c\u533b\u751f\u5bf9\u9ad8\u8840\u538b\u8111\u75c5\u5f71\u50cf\u5b66\u8ba4\u8bc6\u4e0d\u591f\uff0c\u6613\u8bef\u8bca\u4e3a\u75c5\u6bd2\u6027\u8111\u708e\u3002<\/p>\n


<\/p>\n

\u5bf9\u4e8e\u7c7b\u4f3c\u7684\u60a3\u8005\uff0c\u6269\u5927\u601d\u8def\uff0c\u8003\u8651\u5230\u591a\u79cd\u75be\u75c5\u7684\u53ef\u80fd\uff0c\u9700\u8981\u5c06\u5f71\u50cf\u5b66\u548c\u4e34\u5e8a\u5bc6\u5207\u7ed3\u5408\uff0c\u4e0d\u80fd\u53ea\u9760\u8f85\u52a9\u68c0\u67e5\u8bca\u65ad\u75be\u75c5\u3002<\/p>\n


<\/p>\n

\u4ec0\u4e48\u662f\u9ad8\u8840\u538b\u8111\u75c5<\/span><\/strong><\/p>\n


<\/p>\n

\u9ad8\u8840\u538b\u8111\u75c5\u662f\u6307\u7a81\u7136\u3001\u4e25\u91cd\u7684\u9ad8\u8840\u538b\u4fc3\u53d1\u7684\u4e00\u79cd\u6025\u6027\u5927\u8111\u7efc\u5408\u5f81\u3002\u5e73\u5747\u52a8\u8109\u538b\u8fc5\u901f\u5347\u81f3 150 mmHg \u4ee5\u4e0a\uff0c\u8111\u5c0f\u52a8\u8109\u53d1\u751f\u8fc7\u5f3a\u7684\u81ea\u52a8\u8c03\u8282\u53cd\u5e94\uff0c\u51fa\u73b0\u5e7f\u6cdb\u8111\u8840\u7ba1\u75c9\u631b\uff0c\u4f7f\u8111\u90e8\u7f3a\u8840\u7f3a\u6c27\u800c\u5bfc\u81f4\u8111\u6c34\u80bf\u3001\u6bdb\u7ec6\u8840\u7ba1\u7834\u88c2\uff08\u70b9\u72b6\u51fa\u8840\uff09\u548c\u7ec4\u7ec7\u574f\u6b7b\uff08\u5fae\u6897\u6b7b\uff09[2]\u3002<\/p>\n


<\/p>\n

\u4e3b\u8981\u8868\u73b0\u4e3a\u5934\u75db\u3001\u62bd\u6410\u548c\u610f\u8bc6\u969c\u788d\uff0c\u5e76\u53ef\u4f34\u6709\u77ed\u6682\u7684\u5c40\u7076\u6027\u795e\u7ecf\u529f\u80fd\u7f3a\u5931\u3002<\/p>\n


<\/p>\n

\u9ad8\u8840\u538b\u8111\u75c5\u7684\u53d1\u75c5\u539f\u56e0 <\/span><\/strong>[3]<\/span><\/p>\n


<\/p>\n

1. \u539f\u53d1\u6027\u9ad8\u8840\u538b<\/p>\n


<\/p>\n

\u539f\u53d1\u6027\u9ad8\u8840\u538b\u53d1\u751f\u9ad8\u8840\u538b\u8111\u75c5\u7684\u53d1\u75c5\u7387\u7ea6 1% \u5de6\u53f3\uff0c\u9ad8\u8840\u538b\u75c5\u53f2\u8f83\u957f\uff0c\u6709\u660e\u663e\u8111\u8840\u7ba1\u786c\u5316\u8005\u66f4\u6613\u53d1\u751f\u3002<\/p>\n


<\/p>\n

2. \u7ee7\u53d1\u6027\u9ad8\u8840\u538b<\/p>\n


<\/p>\n

\u5982\u598a\u5a20\u9ad8\u8840\u538b\u7efc\u5408\u5f81\u3001\u80be\u5c0f\u7403\u80be\u708e\u6027\u9ad8\u8840\u538b\u3001\u80be\u52a8\u8109\u72ed\u7a84\u3001\u55dc\u94ec\u7ec6\u80de\u7624\u7b49\u4e5f\u6709\u53d1\u751f\u9ad8\u8840\u538b\u8111\u75c5\u7684\u53ef\u80fd\u3002<\/p>\n


<\/p>\n

\u5b50\u75eb\u88ab\u8ba4\u4e3a\u662f\u4e00\u79cd\u7279\u6b8a\u7c7b\u578b\u7684\u9ad8\u8840\u538b\u8111\u75c5\u30025%\uff5e7% \u7684\u5b55\u5987\u53d1\u751f\u9ad8\u8840\u538b\uff0c\u5176\u4e2d 1\/4 \u53d1\u751f\u5148\u5146\u5b50\u75eb\u3002<\/p>\n


<\/p>\n

3. \u9888\u52a8\u8109\u8840\u7ba1\u5185\u5e72\u9884\u540e<\/p>\n


<\/p>\n

\u9ad8\u5ea6\u9888\u52a8\u8109\u72ed\u7a84\u60a3\u8005\u884c\u9888\u52a8\u8109\u5185\u819c\u5265\u79bb\u672f\u6216\u652f\u67b6\u672f\u540e\uff0c\u8111\u704c\u6ce8\u7a81\u7136\u589e\u52a0\uff0c\u4ea6\u53ef\u5f15\u8d77\u9ad8\u8840\u538b\u8111\u75c5\u6216\u79f0\u9ad8\u704c\u6ce8\u7efc\u5408\u5f81\u3002<\/p>\n


<\/p>\n

4. \u67d0\u4e9b\u836f\u7269\u6216\u98df\u7269\u8bf1\u53d1<\/p>\n


<\/p>\n

\u5c11\u89c1\u60c5\u51b5\u4e0b\uff0c\u9ad8\u8840\u538b\u60a3\u8005\u5e94\u7528\u5355\u80fa\u6c27\u5316\u9176\u6291\u5236\u5242\u7684\u540c\u65f6\uff0c\u53c8\u670d\u7528\u7532\u57fa\u591a\u5df4\u6216\u8282\u540e\u4ea4\u611f\u795e\u7ecf\u6291\u5236\u5242\uff0c\u4e5f\u4f1a\u5f15\u8d77\u4e0e\u9ad8\u8840\u538b\u8111\u75c5\u76f8\u4f3c\u7684\u75c7\u72b6\u3002\u8fdb\u98df\u5bcc\u542b\u80fa\u7c7b\u7684\u98df\u7269\u4e5f\u53ef\u8bf1\u53d1\u9ad8\u8840\u538b\u8111\u75c5\u3002<\/p>\n


<\/p>\n

\u4e34\u5e8a\u8bca\u65ad\u8981\u70b9 <\/span><\/strong>[3]<\/span><\/p>\n


<\/p>\n

\u6709\u9ad8\u8840\u538b\u75c5\u3001\u80be\u810f\u75c5\u3001\u598a\u5a20\u9ad8\u8840\u538b\u7efc\u5408\u5f81\u7b49\u75c5\u53f2\u6216\u5176\u4ed6\u5f15\u8d77\u8840\u538b\u8fc7\u9ad8\u7684\u75c5\u56e0\uff1b<\/p>\n


<\/p>\n

\u8840\u538b\u5347\u9ad8\u5e38\u8fbe 180\/120 mmHg \u6216\u5e73\u5747\u52a8\u8109\u538b 150 mmHg \u4ee5\u4e0a\uff1b<\/p>\n


<\/p>\n

\u6709\u6025\u6027\u5934\u75db\u3001\u75eb\u6027\u53d1\u4f5c\u3001\u610f\u8bc6\u969c\u788d\u4e09\u79cd\u4e3b\u5f81\uff0c\u6216\u4f34\u6709\u9ed1\u6726\u3001\u504f\u762b\u3001\u5931\u8bed\u7b49\u8111\u90e8\u5c40\u7076\u6027\u75c7\u72b6\uff1b\u5982\u5404\u79cd\u6025\u6027\u8111\u75c5\u75c7\u72b6\u968f\u7740\u964d\u8840\u538b\u63aa\u65bd\u8fc5\u901f\u7f13\u89e3\uff0c\u66f4\u6709\u52a9\u4e8e\u8bca\u65ad\uff1b<\/p>\n


<\/p>\n

\u773c\u5e95\u6709\u9ad8\u8840\u538b\u6027\u89c6\u7f51\u819c\u75c5\u53d8\u3001\u89c6\u4e73\u5934\u6c34\u80bf\u3001\u51fa\u8840\u3001\u6e17\u51fa\uff0c\u6216\u65e0\u6b64\u79cd\u6539\u53d8\u800c\u4ec5\u8868\u73b0\u4e3a\u89c6\u7f51\u819c\u52a8\u8109\u75c9\u631b\uff1b<\/p>\n


<\/p>\n

CT \u7f3a\u4e4f\u8111\u51fa\u8840\u6216\u8111\u6897\u6b7b\u7684\u8bc1\u636e\uff0c\u6709\u65f6\u53ef\u4ee5\u8868\u73b0\u4e3a\u767d\u8d28\u533a\u57df\u5bc6\u5ea6\u964d\u4f4e\u3002<\/p>\n


<\/p>\n

\u5904\u7406\u8981\u70b9<\/strong><\/span><\/p>\n


<\/p>\n

\u9ad8\u8840\u538b\u8111\u75c5\u53ef\u4ee5\u901a\u8fc7\u53ca\u65f6\u5408\u7406\u7684\u964d\u538b\u3001\u964d\u9885\u5185\u538b\u53ca\u51cf\u8f7b\u8111\u6c34\u80bf\u7684\u7efc\u5408\u6cbb\u7597\uff0c\u7f13\u89e3\u4e34\u5e8a\u75c7\u72b6\uff1b\u75c5\u60c5\u7a33\u5b9a\u540e\u5e94\u9010\u6e10\u8fc7\u6e21\u4e3a\u5e38\u89c4\u6297\u9ad8\u8840\u538b\u836f\u7269\u6cbb\u7597 [5]\u3002<\/p>\n


<\/p>\n

\u785d\u666e\u94a0 30 mg \u52a0\u5165\u8461\u8404\u7cd6 500 ml \u5185 10\uff5e30 \u6ef4\/\u5206\u949f\uff0c\u907f\u5149\u9759\u8109\u70b9\u6ef4\uff0c\u5f00\u59cb\u65f6\u901f\u5ea6\u53ef\u7565\u5feb\uff0c\u8840\u538b\u4e0b\u964d\u540e\u53ef\u9010\u6e10\u51cf\u6162\uff1b\u4e00\u822c\u7528\u836f\u540e 2 min \u8840\u538b\u5373\u660e\u663e\u4e0b\u964d\uff1b\u7528\u6b64\u836f\u65f6\u4e00\u5b9a\u8981\u76d1\u6d4b\u8840\u538b\u548c\u5fc3\u7387\uff0c\u6839\u636e\u8840\u538b\u60c5\u51b5\u53ca\u65f6\u8c03\u6574\u6ef4\u901f\uff0c\u8fbe\u5230\u6cbb\u7597\u76ee\u7684\u540e\u53ef\u9010\u6e10\u51cf\u91cf\u6216\u505c\u836f\uff1b<\/p>\n


<\/p>\n

\u5c3c\u5361\u5730\u5e73 5\uff5e15 mg\/h\uff0c\u4f5c\u7528\u8fc5\u901f\uff0c\u4e0d\u826f\u53cd\u5e94\u5c11\uff1b<\/p>\n


<\/p>\n

25% \u786b\u9178\u9541 10 ml \u808c\u6ce8\uff0c\u5fc5\u8981\u65f6\u6bcf\u65e5 2\uff5e3 \u6b21\uff1b\u80fd\u5728\u4e0d\u5f71\u54cd\u6bcd\u5a74\u5b89\u5168\u7684\u60c5\u51b5\u4e0b\u8d77\u5230\u964d\u538b\u4f5c\u7528 [6]\uff1b<\/p>\n


<\/p>\n

\u9002\u5f53\u5e94\u7528\u8131\u6c34\u836f\u7269\uff08\u7518\u9732\u9187\uff09\u6d88\u9664\u8111\u6c34\u80bf\uff1b\u5730\u585e\u7c73\u677e 5\uff5e10 mg q6 h\uff0c\u53ef\u51cf\u8f7b\u8111\u6c34\u80bf\uff1b\u7ea0\u6b63\u6c34\u3001\u7535\u89e3\u8d28\u548c\u9178\u78b1\u5e73\u8861\uff1b<\/p>\n


<\/p>\n

\u51fa\u73b0\u62bd\u6410\u53ef\u4f7f\u8840\u538b\u8fdb\u4e00\u6b65\u5347\u9ad8\uff0c\u52a0\u91cd\u75c5\u60c5\uff1b\u56e0\u6b64\u5e94\u7acb\u5373\u5236\u6b62\u62bd\u6410\uff0c\u53ef\u9009\u7528\u5b89\u5b9a 10\uff5e20 mg \u9759\u8109\u6ce8\u5c04\uff0c\u5fc5\u8981\u65f6\u6bcf 30 min \u6ce8\u5c04\u4e00\u6b21\uff0c\u76f4\u81f3\u62bd\u6410\u505c\u6b62\u3002<\/p>\n


<\/p>\n

\u6025\u6027\u671f\u8fc7\u540e\uff0c\u610f\u8bc6\u8f6c\u6e05\uff0c\u6539\u7528\u53e3\u670d\u964d\u538b\u836f\u7269\uff0c\u4ee5\u9632\u518d\u53d1 [7]\u3002<\/p>\n


<\/p>\n

\u63a8\u8350\u9605\u8bfb\uff1a<\/strong>
<\/p>\n


<\/p>\n

\u4e00\u6587\u7406\u6e05\uff1a\u6025\u6027\u75c5\u6bd2\u6027\u8111\u708e\u7684\u8bca\u6cbb\u7b56\u7565<\/a>
<\/p>\n


\u9752\u5e74\u5352\u4e2d\u5e38\u89c1\u56db\u5927\u75c5\u56e0<\/a><\/p>\n


<\/p>\n

\u4e94\u5206\u949f\u641e\u5b9a\u8170\u7a7f\u540e\u5934\u75db<\/a>
<\/p>\n


<\/p>\n

\n
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\u7f16\u8f91 | \u738b\u5f18
<\/span><\/p>\n

\u6295\u7a3f\u53ca\u5408\u4f5c | wanghong@dxy.cn<\/span>
<\/span>\u9898\u56fe\u6765\u6e90| shutterstock<\/span><\/span><\/p>\n

\"\u4e00\u4f8b\u88ab\u8bef\u8bca\u4e3a\u300c\u75c5\u6bd2\u6027\u8111\u708e\u300d\u7684\u9ad8\u8840\u538b\u8111\u75c5\"<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

<\/span>
<\/p>\n

\u53c2\u8003\u6587\u732e<\/span><\/p>\n


<\/p>\n

[1] \u6768\u8fde\u7ca4. \u795e\u7ecf\u5185\u79d1\u4e34\u5e8a\u5fc3\u5f97 [M]. \u5317\u4eac\uff1a\u79d1\u5b66\u6280\u672f\u51fa\u7248\u793e.2011,91.<\/span><\/p>\n

[2] Sundgren PC, Edvardsson B, Holtas S. Serial investigation of perfusion disturbances and vasogenic oedema in hypertensive encephalopathy by diffusion and perfusion weighted imaging[J]. Neuroradiology,2002,44:299-304.<\/span><\/p>\n

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