高血压的诊断-苏海(国外英文资料).docVIP

高血压的诊断-苏海(国外英文资料) Hypertensive diagnosis blood pressure measurement measurements Not in the drug state for two or more times Multiple blood pressure readings are not repeated on the same day The average The definition of normal blood pressure The definition and classification of blood pressure levels classification The ideal blood pressure Normal blood pressure The normal high value Grade 1 hypertension Grade 2 hypertension Level 3 hypertension Simple systolic hypertension (ISH) Systolic pressure (SBP) 120 120 ~ 129 130 ~ 139 140 ~ 159 160 ~ 179 P 180 P 140 Diastolic pressure (DBP) 80 80 ~ 84 85 ~ 89 90 ~ 99 100 ~ 109 P 110 90 Classification of hypertension 1, the primary hypertension (primary hypertention) Accounted for 95% 2, secondary hypertension (secondary hypertention) Secondary to certain diseases Accounted for 5% Common secondary hypertension Renal parenchyma lesions Acute glomerulonephritis Chronic glomerulonephritis Diabetic nephropathy Common secondary hypertension Renal artery stenosis It can be either side or side Causes: congenital, inflammatory elderly atherosclerosis Progress is rapid and drug treatment is ineffective The upper abdomen, the back rib Angle and the blood vessel murmur A diagnosis of renal arterial imaging Surgery or kidney artery lines and medication Common secondary hypertension pheochromocytoma The adrenal myeloid or sympathetic ganglion (mostly benign) intermittent or persistent secretion of excess adrenaline The symptoms, such as tachycardia, headache, sweating and paleness, are characterized by high blood sugar and hypermetabolism In blood or urine the catecholamine and metabolic products (VMA) increased significantly, especially during high blood pressure Ultrasound, CT and magnetic resonance can show tumor sites The drug has a poor effect and can be surgically removed Common secondary hypertension Primary aldosterone increase Adrenocortical hyperplasia or tumor - aldosterone Chronic hypertension with persistent low blood po