Mr. Zhang was diagnosed with high blood pressure during a physical examination a few years ago. Due to inattentive diet and irregular medication, his blood pressure has been fluctuating.

Not long ago, he ate food stalls with friends until late at night. When he got home, he turned on the air conditioner to 22°C. He just drank a cup of sober tea, and suddenly fell to the side unconscious. 190/120mmHg, the result of head CT showed that he had cerebral hemorrhage!

  Although autumn has already begun, many parts of the country are still experiencing high temperatures and "baking".

For some hypertensive patients, sleep is affected by the hot weather. During the day, they need to turn on the air conditioner to cool down, and repeatedly enter and exit indoors and outdoors with huge temperature difference, which makes blood pressure fluctuate more frequently and easily induces "hypertensive cerebral hemorrhage".

  long-term high blood pressure

  is the culprit of cerebral hemorrhage

  Whether it is winter or summer, hypertension that cannot be effectively controlled for a long time is the biggest culprit in inducing cerebral hemorrhage!

Unhealthy living habits, emotional fluctuations, and sudden changes in outside temperature are important factors that cause fluctuations in human blood pressure.

  In patients with a clear history of hypertension, in addition to the exclusion of trauma, coagulation disorders, tumors and other causes, the sudden "intracerebral hemorrhage" is called hypertensive intracerebral hemorrhage.

Bleeding can originate from intracerebral arteries, veins and capillaries, and "deep cerebral arteriole hemorrhage" is the most common, which is one of the most serious complications of hypertension.

The disease has a tendency to "preference to sons" and is more common in middle-aged and elderly people around the age of 60, but there is also a younger trend now.

  Hypertensive intracerebral hemorrhage usually starts suddenly and is motivated by many incentives, such as great joy and sorrow, sudden excessive exertion, high mental stress, persistent fatigue, poor sleep quality, heavy drinking, nightmares during sleep, and straining to relieve bowel movements.

  These four physical discomforts

  Warning of "brain hemorrhage"

  Before a "brain hemorrhage" occurs, the body often experiences the following discomforts:

  1. Before the occurrence of cerebral hemorrhage, most patients will feel sudden dizziness and headache, and will soon have symptoms of half-body weakness. In severe cases, they will become unconscious and coma.

At this time, emergency head CT examination can be diagnosed in a short time.

  2. Patients with cerebral hemorrhage have frequent nausea and vomiting, deep breathing, ruddy complexion, slow and powerful pulse, and elevated blood pressure.

  3. Stiff limbs, unable to move freely, and finally even breathing becomes irregular.

  4. Some patients with cerebral hemorrhage experienced a sudden rise in body temperature.

  high blood pressure

  Brain hemorrhage takes a "detour"

  Hypertension is a very common disease, and in most cases hypertensive patients will not have cerebral hemorrhage due to hypertension.

However, if long-term hypertension is not well controlled, it will cause cerebrovascular lesions, such as decreased elasticity, degeneration and necrosis of the vascular wall, and even the formation of "microaneurysms". Their common feature is "weak blood vessel walls". It is easy to burst and bleed due to a sudden increase in blood pressure.

So, how to avoid cerebral hemorrhage in hypertensive patients?

  Actively improve living habits and eat less "three high" foods, namely high sugar, high salt and high fat foods; quit smoking and limit alcohol; control weight and strengthen physical exercise; keep a happy mood and avoid mood swings; ensure sleep and stay up late.

  Rational drug use The vast majority of hypertensive patients need to take medicine regularly for a long time. It is not allowed to reduce, stop, or change the medicine at will, nor can they listen to local remedies and health products to replace regular antihypertensive drugs; pay close attention to various adverse reactions during taking the medicine, such as hypotension , dizziness, nausea, etc., should be corrected in time after discovery.

  Generally speaking, the blood pressure control target for patients under 65 years old is below 140/90mmHg. Under tolerable and sustainable conditions, some high-risk patients with diabetes and proteinuria can control blood pressure below 130/80mmHg; 65 The blood pressure of patients over 150 years old should be reduced to below 150/90mmHg, and further blood pressure should be considered if tolerated.

  Regular blood pressure measurement For adults over 18 years old, measure blood pressure at least once a year to detect abnormal blood pressure in time - for young people, blood pressure ≥ 120/80mmHg is in the alert range; groups with hypertension or tendency to hypertension should regularly Measure blood pressure and record blood pressure value and date.

  Text/Wang Fang (Beijing Hospital)