fwi 发表于 2013-1-22 21:43:32

术后高血压(试发帖) 摘至医学英语900句

Hypertension is not an unusual occurrencein the PACU.The diagnosis of hypertension must be considered in the context ofan elevated blood pressure in relation to the patient’s preoperative andintraoperative blood pressure range.Most commonly,postoperative hypertension isrelated to fluid overload,heightened sympathetic nervous system activity,orpreexisting hypertension .Postoperative hypertension,even as a transientepisode,may have significant cardiovascular and intracranial consequences,andtherefore,aggressive diagnosis and treatment are indicated.

fwi 发表于 2013-1-23 21:47:11

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Overzealous fluid replacement,frequently seen in trauma patients,may cause postoperative hypertension.Clinical findings may include dilute urine,tachycardia,distended neck veins,shortness of breath,pulmonary rales,and possibly left ventricular failure and pulmonay edema.The severity of the symptoms reflects rate of onset,the amount of fluid overload,and the patient’s previous state of health.Treatment should include administrition of intravenous diuretics,fluid restriction,close monitoring of intake and output,and electrolyte determination.
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