It is sudden and cold The hypertension patient should take care the internal bomb is ignited

It is sudden and cold The hypertension patient should take care the internal bomb is ignited
Interviewed the expert Guangdong save worry vascular the intersection of disease and research institute, the intersection of Huo Yingdong and the intersection of heart and the intersection of centre and the intersection of department of cardiac surgery and chief physician Fan RuiXin
It is sudden and cold, let Cantonese taste " severe winter "s at last Grim flavour. Likewise, cold to test us to be cardiovascular, the intersection of the People's Hospital and heart grind the emergency department in Guangdong Province, the patient going to a doctor because the chest happens suddenly to ache obviously increases. Huo Yingdong the intersection of heart and the intersection of centre and the intersection of heart and head of the department of surgery cure the intersection of normal school and auspicious new statement, violent the intersection of chest and ache or low-back pain that happen suddenly, and rise with blood pressure, not only should consider the acute heart stem also look out for " aneurysm of intermediate layer " ,This kind of " bomb when being indefinite " Once ignite, nearly there is acute one that 50% of the patients are having illness coming on that dies because the blood vessel break promptly.
Truth of the bomb while decoding indefinitely
Hypertension is the proruption of main reason for aneurysm of intermediate layer " The chest aches " ,The stomach will punch, the spleen will be broken, will the blood vessel be torn too? Indeed, the cardiovascular doctor has found in recent years, increasingly many patient who saw the emergency call because the chest ache, found finally " The blood vessel is torn " Due to. Originally, the intersection of blood vessel and and outside have, can be compared to wall paper to be the same, if the wall infiltrated, will let the intersection of wall and skin and strip between the wall, form a dislocated upwarping. The same reason, as the blood is permeated through the intermediate layer of the aorta, will form a hematoma, until splitting open tearing the middle the whole blood vessel clump.
In the cardiovascular training, this disease is called in " intermediate layer of aorta " ,Also called " aorta intermediate layer aneurysm " ,It is one of the most dangerous cardiovascular vessel diseases, " bomb when being indefinite " like the human body ,Wonder when to just know " Peng " One sound ignite.
Grind emergency department while being attentive, will meet this kind of very critical patient often. Fan Rui's new statement, nearly there is acute one that 50% of the patients are having illness coming on that dies because the blood vessel break promptly, it is very little to rescue the chance to succeed, may die of losing blood shock in several minutes. A patient was sent to the People's Hospital of Guangdong Province that very night from Jiangxi by relatives, get hospital will it be 2 o'clock before dawn, arrange for CT check morning, prepare operation, result the patient right away die because the blood vessel breaks massive haemorrhage to noon yet, its critical intensity often makes people quite unexpected.
Hypertension is a main reason for aneurysm of intermediate layer
" aneurysm of intermediate layer " Either a kind of tumour, in fact or in a blood vessel bag piece. On clinic, has had the tendency to rise year by year during these years, the middle-aged and elderly people over 40 of good hair. Has undergone an operation in medicine of province every year the therapeutic patient has already exceeded 100. Fan Rui's new statement, this disease is more and more common, but the cause of disease is very complicated, the common one unusually,etc. has hypertension, arteriosclerosis, traumatism, inflammation, heredity, among them, the hypertension and arteriosclerosis are the most important.
The expert claims, 1/2- 2/3 of the intermediate layer aneurysm patients amalgamate hypertension. This kind of people is here " The bomb " Before not exploding yet, look from appearance as normal people, but because hypertension makes the aorta in should defy ing state for a long time, as time passes, will promote the intersection of aorta and the intersection of regression and the intersection of and change, make blood vessel organize, happen, retreat, change, including the elasticity fiber reduces, ruptures and smooth muscle cells are reduced, the inner membrane breaks, the blood is entered from the broken entry, the membrane is split, accumulate the blood and become hematoma in making.
When the cold in it, human body moves tiredly and vigorously, will let the main intra-arterial injection be raised, hematoma is bigger and bigger, the blood vessel torn is longer and longer, as the blood vessel is able to bear not standing " high pressure " When, know " peng " Each break,by massive haemorrhage,all these will take place for hypertension patient is for one of calamities.
" the chest aches " to happen suddenly ,The extremely apt and acute heart stem is obscured
Knew to aneurysm of intermediate layer insufficiently in early years, there were few corresponding inspection means, because it is not high to examine the appearing rate, the often easy and acute heart stem is obscured. "Most people think acute heart can short to want life several minute in stem, the intersection of heart and stem can short several can fatal in minute in fact, unless there is block of large area. " Fan Rui's new statement, " according to present research, patient who died because of heart stem in the past, half dies because of aneurysm of intermediate layer at least. "
Mistook aneurysm of intermediate layer for the acute heart stem in the past, the majority because symptom of the two was similar. Director Fan says, aneurysm of intermediate layer is most common in order to violent pain happen suddenly while having illness coming on, nearly happen to 90% of the patients, pain is torn or is cut kind, make people insufferable. The patient often presents pale complexion, profuse sweating, the skin is clammy, breathe rapid symptom, the sense dies frequently, and continuation, includes and obey the Nitroglycerin invalid.
At emergency call, the patient ache with chest mainly and abdominal distension, shock come on, go to a doctor. Is ability made a definite diagnosis of after finishing belly Ultrasonography B, CT or magnetic resonance " Aneurysm of intermediate layer " .
The expert reminds
Up until now, there is no effective medicine to treat aneurysm of intermediate layer yet, surgery is the only effective method of preventing aneurysm of intermediate layer from breaking, and this operation is a major operation, with high risk. So expert think, prevent hypertension in daily life, strengthen in early days it finds to be best waying.
(1) Check blood pressure hardworkingly. Director Fan thinks, the person with medical history of hypertension, should be in an electronic blood pressure appearance always on the alert of office or family, takes 10 minutes to often examine blood pressure, understand one's own blood pressure state. While meeting blood pressure unusually, should seek medical advice in time.
(2) The chest happens while aching, should remember checking CT. The chest may not ache even if have a heart attack, it is probably " aneurysm of intermediate layer " . So, at the time of the physical examination at ordinary times, if economic conditions permit, after finishing the electrocardiogram and checking, the situation of the aorta of making CT and checking again, so as not to leak and examine.
(3) Nuclear magnetic resonance, diagnose the important inspection means of aneurysm of intermediate layer fast at present. (Zhang Hua Zhang LingLing)
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