严重高血压的含义不仅在于血压计的测压读数高,还涉及许多其他的因素。例如,50岁以上妇女的高血压病程常相对地较为良性,而年轻男性高血压的后果则常较为严重。青少年患高血压者较少,但常为肾性高血压,故预后亦较差。妊娠时的“高血压性血管病变”不仅在较低的血压即可形成,亦可在高血压之前即已发生而引起高血压。所以,不能仅以收缩压和舒张压的读数来对待患者。可能影响治疗的严重高血压的机理肾素-血管紧张素的理论虽然激起了学术上的广泛兴趣,但对于临床医师和各别患 The implications of severe hypertension include not only the high pressure reading of the sphygmomanometer but also many other factors. For example, the course of hypertension in women over the age of 50 is often relatively benign, while the consequences of high blood pressure in young men are often more severe. Adolescents suffering from high blood pressure less, but often renal hypertension, so the prognosis is poor. Hypertensive vascular disease during pregnancy is not only formed at a lower blood pressure, but also occurs before high blood pressure and can cause high blood pressure. Therefore, patients should not be treated solely for systolic and diastolic readings. The Mechanisms of Severe Hypertension That May Affect Treatment Although the theory of renin-angiotensin arouses broad academic interest, it is not uncommon for clinicians and individual patients