Pregnancy with essential hypertension treatment

[1] treatment. Venous thrombosis treatment (1) General addressed : bed rest a ~ 2 weeks to ease leg pain, so tight sticky thrombosis in the vein of endometrial until aircraft and luminal patency. Chigaohuanshi, cardiopulmonary higher level, from the bed 20 ~ 30cm, knee buckling slightly for the benefit of venous return and reduce edema. Maintain patency stool, defecation so hard to prevent detachment of the thrombus. Wear long to get up after the reunification of elastic stockings 6 ~ 12 weeks, so superficial venous pressure, increase return and reduce lower extremity edema. (2) thrombolytic therapy : apply to three days after onset of pulmonary embolism or when. 1) streptokinase : half an hour before, intravenous hydrocortisone 25 ~ 50 mg or 5 ~ 10 mg dexamethasone, in order to prevent adverse reaction. Early dose of streptokinase 500,000 u plus 5% glucose saline fluid or 100 ml, within 30 minutes End intravenous drip, after 100,000 u / h maintained until the symptoms disappear, renewable drop 3 ~ 4 hours. Can also be used streptokinase 600,000 u hydrogenation of hydrocortisone 25 mg (or dexamethasone 25 mg) plus 5% glucose solution 25 0 ~ 500ml intravenously once every six hours. Generally used in conjunction with 3 ~ 5. 2) UK : adverse reaction, without application of adrenocortical hormones. Initial dose 3 ~ u 50,000 plus 5% glucose solution (or dextran -40) 250-500ml. in a two-hour intravenous infusion End, a daily two-three times. According to the daily maintenance dose determination of fibrinogen volume or euglobulin lysis time adjustments can be used in conjunction with a ~ 2 weeks. 3) fibrinolysin : 50000 ~ u 150,000 plus 5% glucose solution 250ml, within 30 minutes intravenous drip End. , 50000 u plus 5% glucose solution intravenously daily 2 ~ 3 times, on the 7th. 4) plasma concentrations (plasminogen) combined with streptokinase : Plasma original 90-mg or 120mg plus 150ml saline, intravenous infusion of 4 ~ 6 hours. Following the use of streptokinase 600,000 u 100 ml of normal saline solution intravenously 30 minutes trickling End, a daily meeting, and continued on the 5th. (3) dextran or dextran -70 -40 500-1000ml, intravenously once daily, used in conjunction with 10 ~ 14, a dredge vessel. (4) Surgical treatment : thrombosis or more conservative treatment fails, it may consider the purposes of deep vein thrombosis extraction, leg vein ligation. 2. Treatment of pulmonary embolism : pulmonary embolism, was advised to take the following measures. (1) oxygen : to improve arterial oxygen tension. (2) pain : chest pain, available 30 ~ 60 mg of papaverine hydrochloride or pethidine (meperidine) 50 ~ 100 mg intramuscular injection. or 5 ~ 10 mg of morphine, subcutaneous injection. (3) Flank : atropine 0.5 ~ 1 mg intravenous, each a four-hour time, suggesting sluggish nerve resistance, prevent or improve the pulmonary artery and coronary reflex spasm. Aminophylline 0.25 ~ 0.5g plus 5% glucose solution 100-250ml, intravenous drip, to remove bronchial spasm. (4) Anti-shock : 20-40mg of dopamine, Aramine or 20 ~ 40mg plus 5% glucose solution 200ml, intravenous drip. (5) Strong Heart : Deacetylation LANATOSIDE (West to Portland), or 0.4 ~ folic drug LANATOSIDE K0.25mg plus 50% glucose solution , intravenous injection