关键词: 主动脉夹层；高血压；硝普钠；&beta, 受体阻滞剂

Abstract:

The anti-hypertensive drug treatment of aortic dissection         SHU Chang，ZHANG Wen-bo. Department of Vascular Surgery，the 2nd Xiangya Hospital，Central South University，Changsha 410011，China
Corresponding author: SHU Chang，E-mail:changshu01@yahoo.com
Abstract    Incidence of aortic dissection is closely related to hypertension. Once it has arotic dissection, blood pressure should be reduced quickly and effectively as far as possible during acute phase, without affecting the perfusion of some vital organs, like the heart, brain, and kidney. The systolic pressure should be controlled between 90~100mmHg, while heart rate between 60~70 times/min. It has been generally accepted that the standard antihypertensive treatment is the combined application of vasodilators like sodium nitroprusside or nitroglycerin andβ-blockers. It is the key to surgical success that blood pressure monitoring and controlled hypotension during endovascular therapy.

Key words: aortic dissection；hypertension；sodium nitroprusside；&beta, -blockers