Hypertension can ease into what organ damage
The onset and course of progress priorities can be divided into type and ease into the radical type, to ease into the type多见.
Ease into the performance of Hypertension
(A) early performance
Early more asymptomatic, and occasionally physical examination found that blood pressure, or stress, emotional exhaustion after the flu or dizziness, headache, vertigo, tinnitus, insomnia, fatigue, attention is not focused, and other symptoms of possible mental dysfunction by the High To. Early only temporarily elevated blood pressure, with the course of continued progress in increased blood pressure, organ involvement.
(B) of the brain performance
Headache, dizziness common cause hypertension may be due to external carotid artery expansion, enhanced by the expansion and throb. Peripheral artery in small temporary strong cramps, Jizhou elevated blood pressure can lead to hypertension crisis. As more emotional, Guoduopilao, climate change or disable antihypertensive drug-induced.
Jizhou elevated blood pressure. > 26.16Kpa (200/120mmHg), severe headache, blurred vision, palpitations shortness of breath, looking pale and tinnitus, dizziness, sweating and acute heart, brain, kidney dysfunction, antihypertensive treatment should be prompt. If blood pressure suddenly increased from acute cerebral circulation dysfunction, causing cerebral vasospasm, cerebral edema, increased intracranial pressure, said hypertensive encephalopathy, a sub-acute, obvious symptoms from the onset to take about 24 to 48 hours, the pathogenesis of As might mean arterial pressure> 21.3 Kpa (160mmHg) caused cerebral vascular regulation dysfunction, caused by cerebral vasospasm, cerebral edema, or dot-like bleeding. Hypertensive encephalopathy also can be found in all kinds of secondary hypertension, acute nephritis to see more. Severe headache, visual disturbances, nausea, vomiting, convulsions, coma, a hemiplegia, aphasia, and so on. This shows that small artery spasm eyes, optic nerve nipple edema, hemorrhage and leakage and the like. Cerebrospinal fluid pressure increased, the antihypertensive treatment after one to two hours, headache and disturbance of consciousness can significantly improve.
(C) performance of the heart
Long-term high blood pressure, left ventricular over-load, causing cardiac hypertrophy. Myocardial hypertrophy with cardiac and expansion of the formation of hypertensive heart disease. Early, compensatory cardiac function, symptoms was not obvious, the late decompensated heart function, heart failure occurred. Medical examination found apical pulse was flattering, the left heart Zhuoyin sector expanded. Aortic valve area auscultation second heart sound hyperthyroidism, the apex of the briefing area because of left ventricular systolic murmur of the relative expansion of mitral regurgitation, or because of the associated with myocardial ischemia, papillary muscle dysfunction caused by aortic valve area briefing auscultation Of systolic murmur, reflecting the relative aortic expansion and aortic stenosis. Auscultation aortic valve in a few areas can be heard and splashing water samples diastolic murmur, this expansion of the aorta, the aortic valve relative insufficiency due to a heart failure, they can hear the pathological third heart sound or pathological fourth heart sounds, pulmonary valve Second heart sound enhanced, lung blisters on the bottom of the sound, ECG strain and left ventricular hypertrophy, can have various types of arrhythmia. Sometimes ST segment declined, this is not caused by coronary heart disease, should pay attention to identification. X-ray examination, the expansion of left ventricular hypertrophy, aortic arch extended bending. Echocardiography positive rate higher than the ECG and X-ray examination, but also found that early change. If the early expansion of the left atrium, thickened septum. Hypertensive heart disease is a typical change left ventricular wall thickening. Can be accompanied by expansion of the left atrium and left ventricle. Critical patients with hypertension, may have left atrial septal thickening and expanding.
(4) kidney performance
Long-term high blood pressure caused by renal arteriosclerosis. Renal dysfunction, can cause nocturnal enuresis, and more urine, containing protein in urine, and the type of red blood cells. Urinary function of the lower concentration, phenol red and excretion of urea clearance obstacles. There azotemia and uremia.
(5) artery change
Sustained high blood pressure, can cause aortic expansion and extension of buckling. When endometrial aortic rupture, leakage of blood can form aortic dissection. Hypertension is a rare but serious complications one. Hypertension promote aortic atherosclerosis, thus forming aortic aneurysm. Lower limb atherosclerosis, can cause intermittent claudication, both diabetes disease can cause serious physical Central Ju.
(6) fundus changes
The incidence of retinal changes with age, disease, blood pressure, heart and kidney change parallel relations. Fundus changes at four. Early retinal artery spasm, artery thinner, a change of grade Ⅰ eyes. After the development of retinal artery hardening, arteriovenous cross-oppression, is a change in grade Ⅱ. Mian Xuzhuang exudative retinal hemorrhage or a class Ⅲ. Nipple to the optic nerve edema Ⅳ level change.
5/09/2008
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