高血压的诊断-苏海（Diagnosis of hypertension - su hai）.doc

高血压的诊断-苏海（Diagnosis of hypertension - su hai） Diagnosis of hypertension blood pressure measurement The number of measurements The second or more non-drug state Blood pressure test is not repeated on the same day The average The definition of normal blood pressure Definition and classification of blood pressure levels classification The ideal blood pressure Normal blood pressure The normal high value Level 1 hypertension Grade 2 hypertension Grade 3 hypertension Simple systolic hypertension (ISH) Systolic blood pressure (SBP) 120 120 ~ 129 130 ~ 139 140 ~ 159 160 ~ 179 P 180 P 140 Diastolic blood 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 Acute glomerulonephritis Chronic glomerulonephritis Diabetic nephropathy Common secondary hypertension Renal artery stenosis It can be unilateral or bilateral Causes: congenital and inflammatory elderly atherosclerosis Rapid progress and ineffective drug treatment The upper abdomen, back rib Angle can be heard and blood vessel murmur Renal arteriography can be diagnosed Surgery or renal artery lines and medication Common secondary hypertension Chromaffin cell tumor Adrenal medullary or sympathetic ganglion tumor (mostly benign) intermittent or persistent secretion of excessive epinephrine Often with tachycardia, headache, sweating, paleness and other symptoms, hyperglycemia and hypermetabolism In blood or urine, the catecholamine and metabolites (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 aldosteronism Adrenal cortical hyperplasia or tumor - aldosterone Long-term hypertension with refractory lo