Core tips: in recent years, there are more and more people with hypertension, and hypertension emergency has become one of the important factors threatening the life of patients. It can suddenly increase hypertension and cause multiple organ damage in a short time. In the face of a hypertension emergency, it is necessary to carry out a correct assessment and appropriate treatment measures to pull patients back from the edge of death.
In recent years, there are more and more people with hypertension, and hypertension emergency has become one of the important factors threatening the life of patients. It can suddenly increase blood pressure in a short time and cause multiple organ damage. In the face of a hypertension emergency, it is necessary to carry out a correct assessment and appropriate treatment measures to pull patients back from the edge of death.
What is a hypertensive emergency?
Hypertension emergency refers to the serious clinical manifestations caused by the sudden rise of blood pressure in the process of disease development. It is generally believed that hypertension emergency occurs when systolic blood pressure is greater than 180 mmHg and diastolic blood pressure is greater than 110 mmHg. The blood pressure level is an important factor to determine the severity of the disease.
Emergency treatment of hypertension
Hypertension emergency can be divided into hypertensive encephalopathy, acute heart failure, pulmonary edema, aortic dissection, and eclampsia according to the different symptoms. The emergency treatment of hypertensive emergencies is described from two aspects of cardiovascular symptoms and encephalopathy symptoms.
1. Hypertensive emergency with cardiovascular symptoms.
Patients in a semi-sitting and lying position should keep their respiratory tract in normal condition and be prepared for sputum suction at any time; oxygen should be given to patients and oxygen flow should be adjusted according to the condition; blood pressure of patients in sitting and lying positions should be measured, and arterial catheterization should be used to monitor blood pressure changes, and short-acting intravenous antihypertensive drugs should be used to reduce blood pressure to the target value.
2.Hypertensive encephalopathy.
It is important to observe whether there is intracranial hypertension to prevent cerebral hernia and convulsion. The patient was in a supine position with the head leaning to one side, and the oropharyngeal ventilation tube was placed to prevent biting the tongue during the convulsion. The vital signs of the patient were closely monitored and the signs of intracranial hypertension were observed. Once severe headache, jet vomiting, and high blood pressure were found, the doctor should be informed in time.
After the emergency of hypertension has passed the dangerous period, the patients still need to continue the non-drug treatment and drug treatment of hypertension to have a good prognosis.