Whether hypertension with urinary occult blood 2+ and protein 3+ is serious depends mainly on its etiology and cannot be generalized. If hypertension combined with physiological causes of urinary occult blood and urine protein positive, usually not serious; if hypertension caused by urinary occult blood and urine protein positive, or hypertension combined with renal disease, if not timely standardized intervention and treatment may be the progress of the disease, and ultimately develop into uremia. 1. Hypertension combined with physiological causes: such as overexertion, strenuous exercise, fever, etc., generally after rest, urinary occult blood and urinary protein can be improved, without special treatment, if the active control of blood pressure, usually will not appear more serious situation. 2. Positive urinary occult blood and urinary protein due to hypertension: Usually it is considered that kidney damage has occurred. It means that the patient has hypertension for a long time and the blood pressure control is not satisfactory, the renal blood vessels have been under high pressure for a long time, which has caused the hardening of renal small blood vessels and even glomerulosclerosis. If not timely standardized intervention and treatment may appear disease progression, and eventually develop into uremia, which is more serious at this time. If patients with high blood pressure have positive urinary occult blood and urinary protein, it is recommended to go to the regular hospital in time, improve the examination to clarify the cause of the disease, and then give targeted treatment or treatment under the guidance of the doctor.