Saturday, January 12, 2008

Pregnancy diagnosis of essential hypertension

??Diagnosis -- a normal blood pressure in different physiological conditions under certain fluctuations, anxiety, tension, stress or physical activity, blood pressure may rise. In addition, systolic blood pressure increase with the rise, and had normal blood pressure and hypertension boundary demarcation is not easy. 1979 China revised method of measuring blood pressure and hypertension diagnostic criteria are as follows : 1. After a 15-minute break. admission seating right arm blood pressure measurement, the measurement should be repeated several times until blood pressure is relatively stable. DBP to prevail voices disappear, such as the persistent voices disappear, it changes the sound when using numerical. The same one-hour intervals days, or every other day again verified. 2. Where systolic blood pressure ≥ 21.2kPa (160mmHg) and (or) DBP ≥ 12.6kPa (9 5mmHg), the diagnosis can be verified. BP 18.7 ~ ~ 12.6kPa 21.2/12 (140 ~ ~ 95mmHg 160/90 ) for the clinical hypertension. 3. Past history of hypertension, not for more than three months, the current inspection normal blood pressure were not included hypertension; As always this medication and check blood pressure normal, the diagnosis of hypertension should be. Women of childbearing age suffer from hypertension most of the first period, a rare vascular complications, and fundus, ECG, heart, Kidney function often no abnormality, it must only diagnosis based on arterial hypertension. The first visit in mid-pregnancy, due to peripheral expansion, hemodilution and placenta formation arteriovenous short circuit. will enable 40% of patients with systolic blood pressure decreased 2.7 kPa (20mmHg), which might complicate diagnosis. That is the first treatment of renal dysfunction, it is difficult to identify chronic glomerulonephritis or chronic pyelonephritis caused by the symptoms of hypertension, Essential hypertension or kidney disease caused.

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