高血压一例.pptVIP

治疗 静脉及口服降压药物控制血压 血压一直持续在200/130mmHg 1、病情特点 年轻人 19岁 突然头痛、头晕、视力模糊 舒张压持续超过130mmHg 眼底检查有出血、渗出和视乳头水肿 肾功能不全 如何诊断 1、恶性高血压 2、高血压性脑病 恶性高血压 2、病情特点 进行性贫血、血小板减少、LDH升高 1、系统性红斑狼疮 2、血栓性微血管病 The histopathological changes fibrinoid necrosis in small arteries and capillaries, and marked thickening of the intima；The resultant luminal narrowing leads to excess fragmentation of erythrocytes and consumption of platelets. This pathological finding is called TMA. Patients with malignant hypertension mostly have a medical history of uncontrolled hyper