猫茶 发表于 2021-6-28 10:40

从高血压到心衰,我们真的束手无策吗?

<p style="white-space: normal;"><br/></p><p style="white-space: normal;letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">&nbsp; &nbsp; &nbsp; 高血压是心衰最常见的病因,多项研究发现,大约2/3的心衰患者合并高血压或既往有过高血压,中国心力衰竭注册研究(China-HF)提示,超半数的心衰患者合并高血压,比率为54.6%。同时已有相关研究证实心衰患者中较高的基线收缩压、舒张压和脉压水平与较高的不良事件发生率相关。然而遗憾的是,无论是在高血压的早期预防、早期筛查还是早期干预上均未能采取有效的措施,高血压到心衰的防治之路仍任重而道远!</span></p><p></p><section data-support="96编辑器" data-style-id="24293" style="white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="width: 40px;height: 1px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -5px;margin-left: 5px;width: 1px;height: 30px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -25px;margin-right: 15px;margin-left: 15px;"><p style="margin-top: 10px;"></p></section><section style="margin-top: -15px;"><section style="margin-top: -5px;margin-right: 5px;margin-left: auto;width: 1px;height: 30px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -5px;margin-left: auto;width: 40px;height: 1px;background-color: rgb(255, 52, 52);"><br/></section></section></section></section><p></p><p style="white-space: normal;letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">&nbsp; &nbsp; &nbsp; 尽管在高血压的防控路上面临着降压不达标、进展的左心室肥厚、高发的心血管事件等问题,但我们真的束手无策吗?虽然我们无法遏制整个过程,但是可以通过行之有效的防治策略延缓其发生发展,如何实现?</span></p><p></p><section data-support="96编辑器" data-style-id="31854" style="white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-block;"><section style="display: flex;justify-content: center;align-items: center;"><section style="padding: 2px;background-image: linear-gradient(90deg, rgb(255, 118, 118) 10%, rgb(255, 215, 215) 100%);border-radius: 50%;box-sizing: border-box;"><section style="background-color: rgb(254, 254, 254);width: 35px;height: 35px;border-radius: 50%;line-height: 35px;font-size: 18px;color: rgb(255, 52, 52);box-sizing: border-box;"><p data-form="0" data-num="2"><strong>01</strong></p></section></section><section style="margin-left: 5px;padding: 4px 20px;border-width: 1px;border-style: solid;border-color: rgb(255, 127, 127);border-radius: 30px;color: rgb(255, 52, 52);letter-spacing: 2px;box-sizing: border-box;"><p><strong>早期筛查出高血压患者</strong></p></section></section></section></section></section><section style="white-space: normal;"><section><section><section><section><section><section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px;background-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color: rgb(0, 0, 0);letter-spacing: 0px;line-height: 20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;">&nbsp; &nbsp; &nbsp; 高血压的早期筛查适用于高血压人群和高血压易患人群,血压测量是一种简便易行的筛查方式。健康成年人每2年至少测量1次血压,最好每年测量1次,可以充分利用健康体检的机会进行筛查,也可以自己积极主动去特定的场所测量血压,如老年活动中心、单位医务室、居委会、药店、血压测量站等,同时应该呼吁医院对≥18岁成人就诊时测量血压。</span><br/></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">&nbsp; &nbsp; &nbsp; 我们更应将高血压防治的关口进一步前移,要高度关注高血压的易患人群,这类人群包括</span><strong><span style="color: rgb(255, 76, 65);"><span style="font-size: 16px;">①收缩压130~139和(或)舒张压85~89mmHg;②超重或肥胖,包括腹型肥胖;③高血压家族史(一、二级亲属);④长期高盐饮食;⑤长期过量饮酒;⑥年龄≥55岁。</span></span></strong><span style="color: rgb(255, 76, 65);"><span style="font-size: 16px;"></span></span><span style="font-size: 16px;">易患人群一般要求每半年测量血压1次,要督促其改变不健康的生活习惯。</span></p></section></section></section></section></section></section></section></section></section></section></section></section></section><p></p><p style="white-space: normal;letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p></p><section data-support="96编辑器" data-style-id="31854" style="white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-block;"><section style="display: flex;justify-content: center;align-items: center;"><section style="padding: 2px;background-image: linear-gradient(90deg, rgb(255, 118, 118) 10%, rgb(255, 215, 215) 100%);border-radius: 50%;box-sizing: border-box;"><section style="background-color: rgb(254, 254, 254);width: 35px;height: 35px;border-radius: 50%;line-height: 35px;font-size: 18px;color: rgb(255, 52, 52);box-sizing: border-box;"><p data-form="0" data-num="2"><strong>02</strong></p></section></section><section style="margin-left: 5px;padding: 4px 20px;border-width: 1px;border-style: solid;border-color: rgb(255, 127, 127);border-radius: 30px;color: rgb(255, 52, 52);letter-spacing: 2px;box-sizing: border-box;"><p><strong>加强对早期心衰的干预</strong></p></section></section></section></section></section><p></p><p style="white-space: normal;letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">&nbsp; &nbsp; &nbsp; 我国心衰指南强调的心衰各阶段处理原则:</span></p><p></p><section data-support="96编辑器" data-style-id="24293" style="white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="width: 40px;height: 1px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -5px;margin-left: 5px;width: 1px;height: 30px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -25px;margin-right: 15px;margin-left: 15px;"><p style="margin-top: 10px;"></p></section><section style="margin-top: -15px;"><section style="margin-top: -5px;margin-right: 5px;margin-left: auto;width: 1px;height: 30px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -5px;margin-left: auto;width: 40px;height: 1px;background-color: rgb(255, 52, 52);"><br/></section></section></section></section><section style="white-space: normal;"><section><section><section><section><section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px;background-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color: rgb(0, 0, 0);letter-spacing: 0px;line-height: 20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;">&nbsp; &nbsp; &nbsp; 在临床上,大多数患者属于C期或D期已出现心衰症状的患者,而我们却常常忽视A期和B期还没有出现心衰症状的病人,这类患者其实离心衰只有一步之遥,通过控制血压达标、改变生活习惯等方式加强对早期无症状心力衰竭的防治,可以延缓高血压发展到心衰的进程。血管紧张素转化酶抑制剂(XX普利)、血管紧张素Ⅱ受体阻滞剂(X沙坦)等类型降压药能阻止左心室肥厚及心肌重构,应作为首选。</span></p></section></section></section></section></section></section><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p></section></section></section></section></section></section><section data-support="96编辑器" data-style-id="31854" style="white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-block;"><section style="display: flex;justify-content: center;align-items: center;"><section style="padding: 2px;background-image: linear-gradient(90deg, rgb(255, 118, 118) 10%, rgb(255, 215, 215) 100%);border-radius: 50%;box-sizing: border-box;"><section style="background-color: rgb(254, 254, 254);width: 35px;height: 35px;border-radius: 50%;line-height: 35px;font-size: 18px;color: rgb(255, 52, 52);box-sizing: border-box;"><p data-form="0" data-num="2"><strong>03</strong></p></section></section><section style="margin-left: 5px;padding: 4px 20px;border-width: 1px;border-style: solid;border-color: rgb(255, 127, 127);border-radius: 30px;color: rgb(255, 52, 52);letter-spacing: 2px;box-sizing: border-box;"><p><strong>确定降压目标</strong></p></section></section></section></section></section><section style="white-space: normal;"><section><section><section><section><section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px;background-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color: rgb(0, 0, 0);letter-spacing: 0px;line-height: 20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;">&nbsp; &nbsp; &nbsp; 关于高血压患者的降压目标值,对比美国、欧洲、中国及国际高血压联盟的最新指南,尽管各指南在人群细分等方面存在一定差异,但均一致推荐存在心衰或心室重构患者收缩压降至</span><strong><span style="font-size: 16px;color: rgb(255, 76, 65);">&lt;130/80mmHg</span></strong><span style="font-size: 16px;">,最好不要低于120mmHg,因为过高过低的血压水平都会增加死亡风险,可以理解为不能矫枉过正。</span></p></section></section></section></section></section></section><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><section data-support="96编辑器" data-style-id="24293"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="width: 40px;height: 1px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -5px;margin-left: 5px;width: 1px;height: 30px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -25px;margin-right: 15px;margin-left: 15px;"><p style="margin-top: 10px;"></p></section><section style="margin-top: -15px;"><section style="margin-top: -5px;margin-right: 5px;margin-left: auto;width: 1px;height: 30px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -5px;margin-left: auto;width: 40px;height: 1px;background-color: rgb(255, 52, 52);text-align: left;"><br/></section></section></section></section></section></section></section></section></section></section><section data-support="96编辑器" data-style-id="31854" style="white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-block;"><section style="display: flex;justify-content: center;align-items: center;"><section style="padding: 2px;background-image: linear-gradient(90deg, rgb(255, 118, 118) 10%, rgb(255, 215, 215) 100%);border-radius: 50%;box-sizing: border-box;"><section style="background-color: rgb(254, 254, 254);width: 35px;height: 35px;border-radius: 50%;line-height: 35px;font-size: 18px;color: rgb(255, 52, 52);box-sizing: border-box;"><p data-form="0" data-num="2"><strong>04</strong></p></section></section><section style="margin-left: 5px;padding: 4px 20px;border-width: 1px;border-style: solid;border-color: rgb(255, 127, 127);border-radius: 30px;color: rgb(255, 52, 52);letter-spacing: 2px;box-sizing: border-box;"><p><strong>选择合适药物控制高血压</strong></p></section></section></section></section></section><section style="white-space: normal;"><section><section><section><section><section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px;background-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color: rgb(0, 0, 0);letter-spacing: 0px;line-height: 20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;">&nbsp; &nbsp; &nbsp; 在心血管事件链中,高血压的治疗不仅体现在血压达标,更要专注于心血管的全程保护。除</span><strong><span style="color: rgb(255, 76, 65);font-size: 16px;">肾素-血管紧张素-醛固酮系统</span></strong><span style="font-size: 16px;">和</span><strong><span style="font-size: 16px;color: rgb(255, 76, 65);">交感神经的过度兴奋</span></strong><span style="font-size: 16px;">和高血压有关,</span><strong><span style="font-size: 16px;color: rgb(255, 76, 65);">利钠肽系统</span></strong><span style="font-size: 16px;">在心衰进程中也参与血压调节,因此选择能够作用以上各靶点的降压药物才能真正实现心血管事件链全程获益。</span></p><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;">&nbsp; &nbsp; &nbsp; 可以看出,</span><strong><span style="font-size: 16px;color: rgb(255, 76, 65);">血管紧张素转化酶抑制剂、血管紧张素Ⅱ受体阻滞剂、β受体阻滞剂、醛固酮抑制剂</span></strong><span style="font-size: 16px;">均适用于高血压患者,那么有没有一种同时作用于以上靶点的药物呢?</span><strong><span style="font-size: 16px;color: rgb(255, 76, 65);">血管紧张素受体脑啡肽酶抑制剂<strong style="color: rgb(0, 0, 0);letter-spacing: 1px;white-space: normal;background-color: rgb(255, 247, 247);"><span style="font-size: 16px;color: rgb(255, 76, 65);">(诺欣妥)</span></strong></span></strong><span style="font-size: 16px;">的问世给高血压及心衰患者的治疗带来了新选择,其可通过抑制利钠肽的分解代谢、阻断血管紧张素Ⅱ(AT1)受体发挥双重作用,在降压同时改善心脏重构,从各个环节抑制或延缓心血管疾病的发生发展,达到标本兼治的目的。</span></p></section></section></section></section></section></section></section></section></section></section></section></section><section data-support="96编辑器" data-style-id="24293" style="white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="width: 40px;height: 1px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -5px;margin-left: 5px;width: 1px;height: 30px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -25px;margin-right: 15px;margin-left: 15px;"><p style="margin-top: 10px;"></p></section><section style="margin-top: -15px;"><section style="margin-top: -5px;margin-right: 5px;margin-left: auto;width: 1px;height: 30px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -5px;margin-left: auto;width: 40px;height: 1px;background-color: rgb(255, 52, 52);"><br/></section></section></section></section><section data-support="96编辑器" data-style-id="31854" style="white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-block;"><section style="display: flex;justify-content: center;align-items: center;"><section style="padding: 2px;background-image: linear-gradient(90deg, rgb(255, 118, 118) 10%, rgb(255, 215, 215) 100%);border-radius: 50%;box-sizing: border-box;"><section style="background-color: rgb(254, 254, 254);width: 35px;height: 35px;border-radius: 50%;line-height: 35px;font-size: 18px;color: rgb(255, 52, 52);box-sizing: border-box;"><p data-form="0" data-num="2"><strong>05</strong></p></section></section><section style="margin-left: 5px;padding: 4px 20px;border-width: 1px;border-style: solid;border-color: rgb(255, 127, 127);border-radius: 30px;color: rgb(255, 52, 52);letter-spacing: 2px;box-sizing: border-box;"><p><strong>定期检查心脏功能</strong></p></section></section></section></section></section><section style="white-space: normal;"><section><section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px;background-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color: rgb(0, 0, 0);letter-spacing: 0px;line-height: 20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;">&nbsp; &nbsp; &nbsp; 高血压对心脏的损害是一个无声无息和日积月累的过程,为了避免高血压出现心衰,治疗期间定期进行检查很重要,检查涉及到高血压的检查,还有心脏功能检查。一般来说,高血压患者应每天测量血压,每年至少做一次动态血压监测,当血压波动大或控制欠佳时应增加血压的测量频次,随时进行动态血压监测。心脏功能检查主要包括心电图、动态心电图及心脏彩超,尤其是高血压病史超过5年以上最好每年做一次心脏彩超。</span></p></section></section></section></section></section></section></section></section></section><p></p><p style="white-space: normal;letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p></p><section data-support="96编辑器" data-style-id="24293" style="white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="width: 40px;height: 1px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -5px;margin-left: 5px;width: 1px;height: 30px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -25px;margin-right: 15px;margin-left: 15px;"><p style="margin-top: 10px;"></p></section><section style="margin-top: -15px;"><section style="margin-top: -5px;margin-right: 5px;margin-left: auto;width: 1px;height: 30px;background-color: rgb(255, 52, 52);"><br/></section><section style="margin-top: -5px;margin-left: auto;width: 40px;height: 1px;background-color: rgb(255, 52, 52);"><br/></section></section></section></section><p></p><p style="white-space: normal;letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">&nbsp; &nbsp; &nbsp; 高血压的发病机制复杂,除了降压治疗外我们更应关注生活方式的改善,比如</span><strong><span style="font-size: 16px;color: rgb(255, 76, 65);">低盐低脂低糖的饮食习惯、合理安排作息时间、学会调整自己的情绪、适度及规律的运动</span></strong><span style="font-size: 16px;">等。从高血压到心衰,相当于心血管事件链的起点到终点,我们需从整体上进行全面控制,只有全程管理才能全程获益。</span></p><p style="white-space: normal;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 1px;line-height: 2em;"></p><section style="white-space: normal;letter-spacing: 0.544px;font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><section><section style="margin-top: 10px;margin-bottom: 10px;"><section style="padding-left: 11px;display: inline-block;width: 676.994px;vertical-align: top;box-sizing: border-box;"><section><section style="display: inline-block;width: 665.997px;vertical-align: top;background-color: rgba(255, 255, 255, 0);border-style: solid;border-width: 1px;border-radius: 0px;border-color: rgb(7, 48, 196);box-sizing: border-box;"><section><section style="margin-top: 10px;display: flex;flex-flow: row nowrap;text-align: left;justify-content: flex-start;transform: translate3d(-8px, 0px, 0px);-webkit-transform: translate3d(-8px, 0px, 0px);-moz-transform: translate3d(-8px, 0px, 0px);-ms-transform: translate3d(-8px, 0px, 0px);-o-transform: translate3d(-8px, 0px, 0px);"><section style="display: inline-block;vertical-align: top;width: auto;line-height: 0;letter-spacing: 0px;flex: 0 0 0%;height: auto;align-self: flex-start;"><section style="text-align: right;justify-content: flex-end;"><section style="display: inline-block;width: 8px;height: 45px;vertical-align: top;overflow: hidden;"><section style="text-align: center;"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 7.8267px;height: auto;"><svg xmlns="http://www.w3.org/2000/svg" x="0px" y="0px" viewbox="0 0 1.5 8.7" style="vertical-align: middle;width: 100%;" width="100%" data-width="100%"><g><path d="M1.5,0.2C0.8,0.2,0.2,0.6,0.2,1v6.2C0.5,6.9,1,6.8,1.5,6.8V0.2z" fill="rgb(255,255,255)"></path></g><g><path d="M0.2,7.7H0V1c0-0.5,0.7-1,1.5-1v0.2C0.8,0.2,0.2,0.6,0.2,1v6.2C0.5,6.9,1,6.8,1.5,6.8V7C0.8,7,0.2,7.3,0.2,7.7   z" fill="rgb(7,48,196)"></path></g><g><path d="M1.5,8.7C0.7,8.7,0,8.3,0,7.7s0.7-0.9,1.5-0.9V7C0.8,7,0.2,7.3,0.2,7.7s0.6,0.7,1.3,0.7V8.7z" fill="rgb(7,48,196)"></path></g><g><path d="M1.5,7C0.8,7,0.2,7.3,0.2,7.7s0.6,0.7,1.3,0.7V7z" fill="#5f9cef"></path></g></svg></section></section></section></section></section><section style="margin-left: -1px;display: inline-block;vertical-align: top;width: auto;flex: 100 100 0%;align-self: flex-start;height: auto;"><section style="justify-content: flex-start;"><section style="padding-right: 20px;padding-left: 10px;display: inline-block;vertical-align: top;overflow: hidden;height: 36px;width: auto;min-width: 10%;border-width: 1px;border-bottom-right-radius: 100px;border-style: solid solid solid none;border-color: rgb(7, 48, 196) rgb(7, 48, 196) rgb(7, 48, 196) rgb(138, 50, 222);border-top-right-radius: 100px;border-bottom-left-radius: 0px;box-sizing: border-box;"><section style="color: rgb(7, 48, 196);text-align: center;letter-spacing: 2px;line-height: 2.2;"><p><strong>联系方式</strong></p></section></section></section></section></section></section><section style="margin-bottom: 10px;"><section style="padding-right: 20px;padding-left: 20px;letter-spacing: 1.8px;line-height: 1.8;box-sizing: border-box;"><p style="color: rgb(62, 62, 62);"><span style="font-size: 16px;">1、咨询株洲恺德心血管病医院订阅号<strong><span style="color: rgb(7, 48, 196);">在线客服;</span></strong><br/>2、咨询电话:<strong><span style="color: rgb(7, 48, 196);">0731-28263456</span></strong></span></p><p style="color: rgb(62, 62, 62);"><span style="font-size: 16px;">3、住院部地址:株洲恺德心血管病医院<span style="color: rgb(7, 48, 196);"><strong>第二住院大楼4楼(心衰中心)</strong></span></span></p><p><span style="font-size: 16px;"><span style="color: rgb(0, 0, 0);">4、</span><strong style="color: rgb(7, 48, 196);">心衰门诊地址</strong><span style="color: rgb(0, 0, 0);"><strong>:</strong></span><strong style="color: rgb(7, 48, 196);">新华西路门诊部2号诊室</strong><span style="color: rgb(0, 0, 0);">(<span style="color: rgb(62, 62, 62);letter-spacing: 1.8px;">华润万家对面</span>)</span></span></p></section></section></section></section></section></section></section><section><section style="border-top: 1px solid rgb(7, 48, 196);line-height: 0;box-sizing: border-box;"><section style="line-height: 0;width: 0px;"><svg viewbox="0 0 1 1" style="vertical-align:top;"></svg></section></section><section style="margin-top: 3px;border-top: 4px solid rgb(7, 48, 196);line-height: 0;box-sizing: border-box;"><section style="line-height: 0;width: 0px;"><svg viewbox="0 0 1 1" style="vertical-align:top;"></svg></section></section></section><section><p style="text-align: right;"><span style="font-size: 12px;letter-spacing: 0.544px;">文案:任承潜</span></p><p></p></section></section><p></p><p><br/></p><link rel="stylesheet" href="//bbs.zhuzhou.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_g57" id="wcn_editor_css"/>
页: [1]
查看完整版本: 从高血压到心衰,我们真的束手无策吗?