高原红细胞增多症合并急性下肢动脉栓塞的术前及术后护理

Vascular Endothelial and Secreted Factor in Mechanism of Blood Pressure Regulation

总结了10例高原红细胞增多症合并急性下肢动脉栓塞患者的术前及术后护理措施。10例患者均采用急诊连硬外麻下行动脉切开Fogarty导管取栓术,术后给予溶栓、抗凝、血液稀释及扩血管等治疗,并针对高原红细胞增多症的治疗措施予以相应的护理,如术前患肢护理,术后生命体征的观察,患肢的观察及护理,并预防骨筋膜室综合征,做好抗凝及溶栓的护理。认为采取有效的治疗和护理是取得良好预后的关键。

Hypertension is a major disease harmful to human health and can lead to cardiovascular and renal diseases and other vascular system diseases. At present,our country has 250 million hypertensive patients and the adult prevalence rate is 25%-30%. Its prevention and treatment needs further study. The vascular endothelium plays an important role in regulation of blood flow and blood pressure and the endothelial dysfunction exists in hypertensive patients and endothelial dysfunction accelerates the progress of hypertension and target organ damage and promotes the development of atherosclerosis. This paper outlined the mechanisms of vascular endothelium and its secretory factors in blood pressure regulation.