Hypertensive patients with aortic aneurysm

Aortic aneurysm refers to the thoracic aorta, abdominal aortic dilatation of lesions. Is a very dangerous disease, high mortality rate, prevention is very difficult. Hypertensive patients with aortic aneurysm, particularly dangerous. Caused aortic aneurysm is the most common causes of atherosclerosis. There is a genetic disease called Marfan (Marfan) syndrome is a common cause. Closely related to hypertension and dissecting aneurysm, dissection with more than 80 percent of hypertension, long-term arterial hypertension to the middle necrosis. Hypertension is especially large fluctuations of blood pressure is caused tumor rupture of the most common causes of death. Aortic aneurysm two main clinical symptoms, first symptoms of oppression that the expansion of oppression around the aneurysm organ. If tracheal compression can cause coughing and breathing difficulties, oppression esophagus can cause difficulty swallowing and oppression of the recurrent laryngeal nerve can cause hoarseness and oppression of the superior vena cava can cause face, neck, shoulder or Nuzhang venous edema. The pain is usually can be heavy or light, or the thoracic abdominal pain, chest pain or experienced. Most patients Tugansixinliefei kind of chest, back pain, and extend the abdomen, lower extremity, upper extremity and neck, soon after the onset of the peak is not so easy to ease the pain medicine. Although patients with pain and shock due to appearance, anxiety, sweating the hill, accelerated heart rate, but not the majority of patients with low blood pressure or increased. Author solemnly reminded: over the age of 35, when harness intense pain, we must hasten to the larger hospital for an examination and must not delay: we must not tolerate, top trailer. Diagnosis is the most important time to do B-CT, MRI and EBT. At the grass-roots hospitals, although there is no deal with the disease condition, but doctors should have a preliminary identification of the knowledge, in particular the 35-year-old more than 50-year-old sudden severe chest pain, we must think of the disease on the timely delivery and absolutely can not be delayed because of ignorance patients . Once confirmed or suspected of having a high degree of artery aneurysm, in the absence of conditions of the hospital first surgery conservative treatment. There are three main measures: (1) to take immediate relief measures to maintain systolic blood pressure of 100 to 110 mm Hg, in order to reduce tension within the aneurysm to prevent bleeding. Must reduce blood pressure fluctuations, control of blood pressure than the absolute value is more important. (2) using analgesia and sedation drugs, and maintain patient emotional stability. (3) maintain the patency stool to prevent defecation caused difficulties or hypertension. In the conservative treatment should be regularly observed by means of images, such as aneurysms found rapidly increasing trend is broken, or has an important organ insufficiency, emergency angiography, timely surgery. Artery surgery is the treatment of the fundamental measures, because once the aneurysm rupture, almost no hope to save. Aortic aneurysm diameter> 5 cm, irrespective of whether there is asymptomatic, a diagnosis should accordingly surgery; aneurysm diameter> 7 cm should deadline surgery; serious aortic insufficiency left heart failure, drug treatment effect without emergency surgery ; severe chest pain, rupture trend even to emergency surgery. Age is not the taboo of surgery. Should note is that in recent years with interventional therapy instead of the traditional surgery, have achieved very good results, the success rate of close to 100%, less trauma, quicker recovery and fewer complications, especially for senior citizens, many patients with complications.