高血压是怎样一步一步走向心衰的？
<p style="text-align: center;"><br/></p><p><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="background-color: rgb(255, 247, 247);border-radius: 5px;padding: 10px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color:#000;letter-spacing:0px;line-height:20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"> 近日在心衰门诊接诊了一位50岁的男性患者，他自诉最近半个月以来，只要稍微一活动就会感到胸闷憋气，还出现好几个晚上突然从睡梦中憋醒，需要坐一阵才能好转。诊室当时测量血压220/120mmHg，肺部有啰音，双下肢明显水肿，典型的心衰表现，立即收入院治疗。</span></p></section></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p style="letter-spacing: 1px; line-height: 2em; text-align: center;"><br/></p><p><section data-support="96编辑器" data-style-id="31060"><section style="text-align: center;margin: 10px 0%;"><section style="display: flex;justify-content:space-between;align-items:center;"><section style="display: inline-block;vertical-align: middle;width: 45%;" data-width="45%"><section style="border-top: 1px solid rgb(255, 0, 0);height: 1px;box-sizing: border-box;"><br/></section></section><section style="width:7%;" data-width="7%"><p style="text-align: center;"><img data-ratio="1.2" src="https://bbs.zhuzhou.com/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_png/Ljib4So7yuWgzVCWmZZiaiaObmUDK1M9NDw2esGpYlu3pGR1cNq2hTjxP1jGnyG6OJN4kQiaMgRbMJrriaJl4NYFgGA/640?wx_fmt=png" data-type="png" data-w="35" style="display: block;width: auto;height: auto !important;"/></p></section><section style="display: inline-block;vertical-align: middle;width:45%;" data-width="45%"><section style="border-top: 1px solid rgb(255, 0, 0);height: 1px;box-sizing: border-box;"><br/></section></section></section></section></section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="background-color: rgb(255, 247, 247);border-radius: 5px;padding: 10px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color:#000;letter-spacing:0px;line-height:20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"> 入院后查心脏彩超显示心脏明显扩大，射血分数42%，比正常值低了很多，N-端脑利肭肽前体14247pg/ml，肌酐也明显升高，达到了316umol/L，此患者心衰诊断很明确，同时还合并了肾功能不全，罪魁祸首就是高血压。其实这位患者发现血压高已经有5年多的时间了，但就是认为没有不舒服一直没有监测血压，更没有吃药。</span></p></section></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p style="letter-spacing: 1px; line-height: 2em; text-align: center;"></p><p><section data-support="96编辑器" data-style-id="31060"><section style="text-align: center;margin: 10px 0%;"><section style="display: flex;justify-content:space-between;align-items:center;"><section style="display: inline-block;vertical-align: middle;width: 45%;" data-width="45%"><section style="border-top: 1px solid rgb(255, 0, 0);height: 1px;box-sizing: border-box;"><br/></section></section><section style="width:7%;" data-width="7%"><p style="text-align: center;"><img data-ratio="1.2" src="https://bbs.zhuzhou.com/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_png/Ljib4So7yuWgzVCWmZZiaiaObmUDK1M9NDw2esGpYlu3pGR1cNq2hTjxP1jGnyG6OJN4kQiaMgRbMJrriaJl4NYFgGA/640?wx_fmt=png" data-type="png" data-w="35" style="display: block;width: auto;height: auto !important;"/></p></section><section style="display: inline-block;vertical-align: middle;width:45%;" data-width="45%"><section style="border-top: 1px solid rgb(255, 0, 0);height: 1px;box-sizing: border-box;"><br/></section></section></section></section></section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="background-color: rgb(255, 247, 247);border-radius: 5px;padding: 10px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color:#000;letter-spacing:0px;line-height:20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"> 随着生活水平的不断提高，生活压力的增大，生活习惯的不科学，高血压的发病率逐年攀升，患病人群也越来越倾向于年轻化，更可怕的是很多高血压患者不以为然和麻木不仁，最终导致一系列的并发症，心衰首当其冲，而这样的病例却比比皆是。</span></p></section></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p style="letter-spacing: 1px; line-height: 2em; text-align: center;"><span style="color: rgb(255, 76, 65);font-size: 16px;"></span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="color: rgb(255, 76, 65);font-size: 16px;"> 那么高血压是如何一步步“压垮”心脏导致心衰的呢？它们之间的关系真的“不可告人”吗？今天，就让我们一起来窥探一下它们的隐私吧！</span></p><p><section data-support="96编辑器" data-style-id="31060"><section style="text-align: center;margin: 10px 0%;box-sizing: border-box;"><section style="display: flex;justify-content:space-between;align-items:center;"><section style="display: inline-block;vertical-align: middle;width: 45%;box-sizing: border-box;" data-width="45%"><section style="border-top: 1pxsolid #f00;box-sizing: border-box;height:1px;"><br/></section></section><section style="width:7%;" data-width="7%"><p style="text-align: center;"><img data-ratio="1.2" src="https://bbs.zhuzhou.com/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_png/Ljib4So7yuWgzVCWmZZiaiaObmUDK1M9NDw2esGpYlu3pGR1cNq2hTjxP1jGnyG6OJN4kQiaMgRbMJrriaJl4NYFgGA/640?wx_fmt=png" data-type="png" data-w="35" style="display: block;width: auto;height: auto !important;"/></p></section><section style="display: inline-block;vertical-align: middle;width:45%;" data-width="45%"><section style="border-top: 1pxsolid #f00;box-sizing: border-box;height:1px;"><br/></section></section></section></section></section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="background-color: rgb(255, 247, 247);border-radius: 5px;padding: 10px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color:#000;letter-spacing:0px;line-height:20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"> 高血压是指血管受到外界刺激，导致血管痉挛变细，而血管为了保证血液循环，人体自我保护系统只能将射血压力变大，这个压力较正常的会高很多，这就是高血压。</span><br/></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"> 心脏平时只能承受120/70mmHg左右的压力，当血压升高后，我们的心脏必须使劲收缩克服动脉的阻力才能将血液泵出去，久而久之，左心室肌肉就会肥厚，在这个“左室肥厚”的时段，心肌收缩力是加强了，但松弛却出现问题，其运动会变的不灵活和不协调，对心脏泵血功能造成影响导致心衰，医学术语称之为“舒张功能不全性心衰”。</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"> 再后来进一步发展，患者体内交感神经反复兴奋，儿茶酚胺分泌增多，内分泌系统激活（肾素-血管紧张素-醛固酮系统），心肌出现纤维增生，心肌收缩力由“盛”转“衰”，由“强”转“弱”，这时，心室腔扩大，出现“收缩功能不全性心衰”。此时，随着左心衰竭的进一步恶化常可累及右心室功能衰退，形成全心衰竭。</span></p></section></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p style="letter-spacing: 1px; line-height: 2em; text-align: center;"></p><p><section data-support="96编辑器" data-style-id="31060"><section style="text-align: center;margin: 10px 0%;"><section style="display: flex;justify-content:space-between;align-items:center;"><section style="display: inline-block;vertical-align: middle;width: 45%;" data-width="45%"><section style="border-top: 1px solid rgb(255, 0, 0);height: 1px;box-sizing: border-box;"><br/></section></section><section style="width:7%;" data-width="7%"><p style="text-align: center;"><img data-ratio="1.2" src="https://bbs.zhuzhou.com/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_png/Ljib4So7yuWgzVCWmZZiaiaObmUDK1M9NDw2esGpYlu3pGR1cNq2hTjxP1jGnyG6OJN4kQiaMgRbMJrriaJl4NYFgGA/640?wx_fmt=png" data-type="png" data-w="35" style="display: block;width: auto;height: auto !important;"/></p></section><section style="display: inline-block;vertical-align: middle;width:45%;" data-width="45%"><section style="border-top: 1px solid rgb(255, 0, 0);height: 1px;box-sizing: border-box;"><br/></section></section></section></section></section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="background-color: rgb(255, 247, 247);border-radius: 5px;padding: 10px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color:#000;letter-spacing:0px;line-height:20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"> 其实在高血压无声无息日积月累的损害过程中，超常的左室压力会转移到左房，而左房的肌肉较左室薄更容易在早期就表现出扩张，心房扩张后很容易发生房颤，房颤可不是“省油的灯”，除了引起心衰外也能加重心衰，还容易形成血栓堵塞血管。</span><br/></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"> 另外高血压时还会使冠脉血管长时间受到高压力的冲击，血管不但会变细，还会变硬，破坏血管内膜完整性，使其出现裂痕，于是血液中的胆固醇就会趁虚而入，形成粥样斑块，斑块如同滚雪球般逐渐增大导致冠状动脉明显狭窄而出现心肌缺血，这就是冠心病，悲惨的是，冠心病也是心衰的罪魁祸首。</span></p></section></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p style="letter-spacing: 1px; line-height: 2em; text-align: center;"></p><p><section data-support="96编辑器" data-style-id="31060"><section style="text-align: center;margin: 10px 0%;"><section style="display: flex;justify-content:space-between;align-items:center;"><section style="display: inline-block;vertical-align: middle;width: 45%;" data-width="45%"><section style="border-top: 1px solid rgb(255, 0, 0);height: 1px;box-sizing: border-box;"><br/></section></section><section style="width:7%;" data-width="7%"><p style="text-align: center;"><img data-ratio="1.2" src="https://bbs.zhuzhou.com/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_png/Ljib4So7yuWgzVCWmZZiaiaObmUDK1M9NDw2esGpYlu3pGR1cNq2hTjxP1jGnyG6OJN4kQiaMgRbMJrriaJl4NYFgGA/640?wx_fmt=png" data-type="png" data-w="35" style="display: block;width: auto;height: auto !important;"/></p></section><section style="display: inline-block;vertical-align: middle;width:45%;" data-width="45%"><section style="border-top: 1px solid rgb(255, 0, 0);height: 1px;box-sizing: border-box;"><br/></section></section></section></section></section><section data-support="96编辑器" data-style-id="12554"><section><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 247, 247);border-radius: 5px;box-sizing: border-box;"><section style="background-color: rgb(255, 247, 247);border-radius: 5px;padding: 10px;box-sizing: border-box;"><section style="padding: 10px 8px 6px;box-sizing: border-box;"><section style="color:#000;letter-spacing:0px;line-height:20px;"><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"> 综上所述，<span style="color: rgb(255, 76, 65);">在心衰发生发展的各个阶段，高血压都是最重要的诱发及加重因素，无论有没有症状，只要血压增高就会通过以上不同方式一步步让心脏走向崩溃，它对心脏的伤害是全方位的！那么如何遏制高血压向心衰的进展，积极预防和治疗高血压尤为重要！</span></span><span style="color: rgb(51, 51, 51);"></span></p></section></section></section></section></section></section><section style="max-width: 100%;min-height: 1em;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 1px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></section></p><p style="max-width: 100%; min-height: 1em; font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); letter-spacing: 1px; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important; text-align: center;"></p><p style="max-width: 100%; min-height: 1em; font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); letter-spacing: 1px; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important; text-align: center;"><span style="max-width: 100%;font-size: 16px;box-sizing: border-box !important;overflow-wrap: break-word !important;"></span></p><p><section style="max-width: 100%;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft 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auto;flex: 100 100 0%;align-self: flex-start;height: auto;overflow-wrap: break-word !important;"><section style="max-width: 100%;justify-content: flex-start;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="padding-right: 20px;padding-left: 10px;max-width: 100%;box-sizing: border-box;display: inline-block;vertical-align: top;overflow: hidden;height: 36px;width: auto;min-width: 10%;border-width: 1px;border-bottom-right-radius: 100px;border-style: solid solid solid none;border-color: rgb(7, 48, 196) rgb(7, 48, 196) rgb(7, 48, 196) rgb(138, 50, 222);border-top-right-radius: 100px;border-bottom-left-radius: 0px;overflow-wrap: break-word !important;"><section style="max-width: 100%;color: rgb(7, 48, 196);text-align: center;letter-spacing: 2px;line-height: 2.2;box-sizing: border-box !important;overflow-wrap: break-word !important;"><p style="max-width: 100%;min-height: 1em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">联系方式</strong></p></section></section></section></section></section></section><section style="margin-bottom: 10px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="padding-right: 20px;padding-left: 20px;max-width: 100%;box-sizing: border-box;letter-spacing: 1.8px;line-height: 1.8;overflow-wrap: break-word !important;"><p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 16px;box-sizing: border-box !important;overflow-wrap: break-word !important;">1、咨询株洲恺德心血管病医院订阅号<strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(7, 48, 196);box-sizing: border-box !important;overflow-wrap: break-word !important;">在线客服；</span></strong><br style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"/>2、咨询电话：<strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(7, 48, 196);box-sizing: border-box !important;overflow-wrap: break-word !important;">0731-28263456</span></strong></span></p><p style="max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 16px;box-sizing: border-box !important;overflow-wrap: break-word !important;">3、住院部地址：株洲恺德心血管病医院<span style="max-width: 100%;color: rgb(7, 48, 196);box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">第二住院大楼4楼（心衰中心）</strong></span></span></p><p style="max-width: 100%;min-height: 1em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 16px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(0, 0, 0);box-sizing: border-box !important;overflow-wrap: break-word !important;">4、</span><strong style="max-width: 100%;color: rgb(7, 48, 196);box-sizing: border-box !important;overflow-wrap: break-word !important;">心衰门诊地址</strong><span style="max-width: 100%;color: rgb(0, 0, 0);box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">：</strong></span><strong style="max-width: 100%;color: rgb(7, 48, 196);box-sizing: border-box !important;overflow-wrap: break-word !important;">新华西路门诊部2号诊室</strong><span style="max-width: 100%;color: rgb(0, 0, 0);box-sizing: border-box !important;overflow-wrap: break-word !important;">（<span style="max-width: 100%;color: rgb(62, 62, 62);letter-spacing: 1.8px;box-sizing: border-box !important;overflow-wrap: break-word !important;">华润万家对面</span>）</span></span></p></section></section></section></section></section></section></section><section style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box;border-top: 1px solid rgb(7, 48, 196);line-height: 0;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box;line-height: 0;width: 0px;overflow-wrap: break-word !important;"><svg viewbox="0 0 1 1" style="vertical-align:top;"></svg></section></section><section style="margin-top: 3px;max-width: 100%;box-sizing: border-box;border-top: 4px solid rgb(7, 48, 196);line-height: 0;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box;line-height: 0;width: 0px;overflow-wrap: break-word !important;"><svg viewbox="0 0 1 1" style="vertical-align:top;"></svg></section></section></section><section style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><p style="max-width: 100%;min-height: 1em;text-align: right;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 12px;letter-spacing: 0.544px;box-sizing: border-box !important;overflow-wrap: break-word !important;">文案：任承潜</span></p><p style="max-width: 100%;min-height: 1em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></p></section></section></p><p><br/></p><link rel="stylesheet" href="//bbs.zhuzhou.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_Al0" id="wcn_editor_css"/>
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