高血压英文ppt精品课件hypertensive

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1、HYPERTENSIVERETINOPATHYDRAJAYDUDANIDRYASHESHMANIAR--MANYCAUSES--MAINLYESSENTIALHYPERTENSIONSYSTEMICHYPERTENSION(JNCV5TH)STATEOFPERSISTENTELEVATEDBLOODPRESSUREABOVE140/90mmHg.5THJOINTNATIONALCOMMITTEECLASSIFICATIONOFBLOODPRESSURECATEGORYSYSTOLICBPDIASTOLICBP(mmHg)(mmHg)NORMAL<130<85HIG

2、HNORMAL130-13985-89STAGE1(MILD)140-15990-99STAGE2(MOD.)160-179100-109STAGE3(SEVERE)180-209110-119STAGE4(V.SEVERE)>210>120PATHOPHYSIOLOGICALCHANGESINHYPERTENSIVEOCULARDISEASEHYPERTENSIVECHOROIDOPATHYHYPERTENSIVERETINOPATHY--VASOCONSTRICTIVEPHASE--SCLEROTICPHASE--EXUDATIVEPHASE--COMPLIC

3、ATIONSOFTHESCLEROTICPHASE3.HYPERTENSIVEOPTICNEUROPATHY--OPTICDISCEDEMA--OPTICATROPHY--ISCHEMICOPTICNEUROPATHYOCULARHYPERTENSIONARTERIOSCLEROSISGRADE0NORMALGRADE1INCREASEDLIGHTREFLEX,WITHMILDARTERIOVENOUSCROSSINGDEFECTSGRADE2COPPERWIREAPPEARANCEGRADE3SILVERWIREAPPEARANCE,WITHMARKEDARTE

4、RIOVENOUSCROSSINGDEFECTSGRADE4FIBROUSCORDGradingofarteriolosclerosisOCULARHYPERTENSIONARTERIOLESA-VRATIOFOCALSPASMGRADE03:41:1GRADE11:21:1GRADE21:32:3GRADE31:41:3+/-CWSPOTGRADE4FIBROUSCORDNODISTALFLOW+/-ELSSPOTHYPERTENSIVERETINOPATHYHEMORRHAGEEXUDATEDISCEDEMAGRADE0---GRADE1---GRADE2--

5、-GRADE3++-GRADE4+++GRADE1HTRGENERALIZEDARTERIOLARATTENUATIONBROADENINGOFARTERIOLARLIGHTREFLEXCONCEALMENTOFVEINATA-VCROSSINGSGRADE2HTRSEVEREGENERALIZEDANDFOCALARTERIOLARCONSTRICTIONA-VCROSSINGCHANGES(SALUSSIGN)GRADE3HTRCopperwiringofarteriolesVenousbankingdistaltoA-Vcrossing(bonnet’ssn

6、)Venoustaperingoneithersideofcrossing(gunn’ssn)Rightangledeflectionofveins.Flameshapedhemorrhagescottonwoolspots,hardexudates.GRADE4HTRAllchangesofgrade3SilverwiringofarteriolesDiscedemaOcularassociationsofhypertensionRetinalveinocclusionCRVO(CentralRetinalVeinOcclusion)HRVO(HemiRetin

7、alVeinOcclusion)BRVO(BranchRetinalVeinOcclusion)Constitutes69.5%ofallRVOcasesCRVO...ClassicAppearanceMildestFormCRVONONISCHAEMICISCHAEMIC62/FPRNo17474CRVOIVTA(elsewhere)Baseline20/5003weeks20/5003months20/20062/FPRNo17474CRVO(S/PIVTA)2ndIVTA5months20/4008months20/100Avastin2ndAvastinH

8、ayreh