The treatment of high red blood cells should be based on different reasons to choose different treatment methods, caused by high common causes are physiological factors, chronic obstructive pulmonary disease, true erythrocytosis, etc., the treatment includes general treatment, drug therapy. 1. Physiological factors: due to the long-term in the plateau area, so that the body oxygen content is insufficient, the red blood cells appear high, at this time do not need special treatment. 2. Chronic Obstructive Pulmonary Disease (COPD): In order to increase the blood oxygen level and oxygen supply to the body, which causes high red blood cell counts, it is necessary to strengthen the control of the primary disease, pay attention to smoking and alcohol cessation in daily life, balanced diet and so on, and when there is respiratory difficulty, it is possible to inhale oxygen or use bronchodilator such as salbutamol. 3. True erythrocytosis: lowering the cell load treatment, such as intravenous bloodletting, oral hydroxyurea, oral aspirin to prevent thrombosis. There may be other reasons for high red blood cells, such as vomiting, diarrhea, etc. It is recommended to go to the hospital in time, complete the examination to clarify the cause of the disease, and choose reasonable treatment under the guidance of the doctor. The above medications should be taken in accordance with medical advice.