Hypertension most fearful symptom

　　Patient: Lao Min (alias) age: 44 year old of illness: Aorta band previous month, when Shenyang resident Lao Min work the sudden abdominal pain, the diarrhea, the chest also has the severe pain. One hour later, could not endure severe pain Lao Min really, could not but go to the China Medical college attached four courtyards under the family member accompaniment to seek treatment from. in the emergency room, looks pale Lao Min Man Tou was the perspiration, the blood pressure most rises high 180, regardless of were sits or is lying down, the pain was hard to endure, even the complete sentence could not say continually. According to the convention, doctor most starts to suspect that is the acute cardiac arrest. But treatments and so on implementation voltage dropping, pain-relieving do not have the alleviation symptom, afterward a series of inspections also cannot support the common acute cardiac arrest to diagnose. afterward, emergency medical treatment doctor carried on the aorta to strengthen CT the inspection, discovered finally in its arteria subclavia following 5 millimeters places, on the blood vessel wall has a wound, starts from here aorta myo- wall to tear, has extended to the renal artery below. The huge wound has formed one with the original aorta blood vessel parallel band “the blood vessel”. The circulation normal blood flowed in originally this “the false blood vessel”. Doctor the diagnosis is finally “the aorta band (De Bakey III), hypertension gets sick 3 levels, extremely high-risk. ”

　　Is responsible to treat Lao Min this courtyard cardiovascular internist Zhang Xue Ying to explain: The aorta band is one kind of threaten seriously life aorta illness sickness, is refers to aorta internal membrane tearing, in the circulation blood enters in the aorta myo- wall through the opening, causes the blood vessel wall the lamination. Because time its discovery looks like the acute cardiac arrest very much, very easy to create clinical leaks examines. Without the effective treatment, in the approximately three months, this kind of patient's mortality rate reaches as high as about 90%. The aorta band divides into three, first two can only treat through the surgical operation, only III may involve the good belt membrane support through the internal medicine department to post the technique treatment.after Lao Min is hospitalized, after its condition stable, implemented in the aorta cavity for him to isolate the technique, posted a belt membrane support in the Lao Min collar bone nearby artery. They explained: This support quite in an artificial tunnel, originally because of band “blood vessel” oppression, but several near seal aortas, also has supported, had guaranteed the blood circulates smoothly. Lao Min reexamines now the result is, the aorta band entrance was already sealed up, the band which courts disaster “the blood vessel” reduces obviously, has not seen presents the band newly. Lao Min also again has not had until now symptoms and so on chest pain.

　　[expert sound]Medical college four courtyard cardiovascular head of the medical department gold dollar wise Dr. the morbidity mortality rate may reach as high as 90% this is one kind of unusual bad risk disease, its characteristic is sends critically ill, the case fatality rate is high, if cannot the prompt accurate diagnosis, the patient be taken bad in for 48 hours the case fatality rate to increase 1% speed growth by each hour, when one week the case fatality rate may reach 70%, three months may reach as high as 90%. the winter spring disease incidence rate high the aorta band's morbidity has timeliness and the seasonal characteristic, middle one day, the aorta band is easier sends in 6~10:00 am and 2~4:00 pm, the winter spring the disease incidence rate obviously is higher than the summer. are which situations possibly the aorta bands? the burst characteristics chest and back tearing severe pain, is accompanied by hypertension particularly, is invalid including the clothing blasting oil, the electrocardiogram inspection does not have the performance; Unknown cause's abdominal pain, the lumbago, are accompanied by abdomen outward putsation Bao Kuaizhe; The above ache is accompanied by the asphyxia, the shock or spits up blood, have blood in stool; The above ache is accompanied by the heart, the chest, the back, the abdomen blood vessel static either the body blood pressure not symmetry or does not have the arteries sickness.