OVERVIEW
OVERVIEW
Hyperviscosity, also known as hyperviscosity, is a pathological syndrome caused by the elevation of one or more blood viscosity factors, which is related to the decrease of red blood cell deformability or the increase of aggregation and platelet hyperfunction, fibrinogen, cholesterol content, or red blood cell specific volume absolute or relative increase. It occurs mostly in middle-aged and elderly people and is a major factor leading to atherosclerotic cardiovascular diseases.
Whether medical insurance
Yes
Department
Cardiovascular Medicine
Alias
Hyperviscosity
Clinical Symptoms
Clinical symptoms mainly include dizziness, headache, head swelling, excessive dreaming, insomnia and forgetfulness, memory loss, weakness of limbs and numbness of limbs.
Harms
It can induce or aggravate myocardial infarction, stroke, coronary heart disease, hypertension, angina pectoris and other diseases.
Complications
Stroke, coronary heart disease, hypertension, etc.
Examination
Blood routine, plasma protein measurement, blood rheology examination, etc.
Diagnosis
Diagnosis can be made on the basis of the manifestations of dizziness, dizziness, tinnitus, weakness, etc., combined with laboratory tests.
Treatment principle
Reduce blood viscosity, anti-platelet aggregation, improve microcirculation.
Curability
Symptoms can be relieved with treatment.
Dietary recommendations
Adjust reasonable diet and reduce the intake of saturated fatty acid and cholesterol.
Etiology
Etiology
Hyperviscosity is associated with decreased erythrocyte deformability or increased aggregation, platelet hyperfunction, increased fibrinogen and cholesterol content, and absolute or relative increase in erythrocyte specific volume. Its etiology is unknown and can be triggered by metabolic disorders, circulatory abnormalities, tobacco and alcohol addiction, emotional stress, and infections.
Symptoms and Diagnosis
Typical symptoms
1. Decreased visual acuity
Funduscopic examination shows that the blood vessels in the fundus of the eye are “sausage-like”, and the optic disk is edematous, oozing and hemorrhagic.
2. Neurological symptoms
Headache, dizziness, drowsiness, dementia, rigidity and even coma.
3. Bleeding symptoms
Mostly manifested as bleeding from oral and nasal mucosa.
4. Congestive heart failure
Difficulty in breathing, inability to lie down, edema of both lower limbs, and hepatomegaly and splenomegaly.
Diagnostic basis
1. Presence of dizziness, blurred vision, numbness of limbs, drowsiness and other neurological.
2. Blood viscosity indexes such as hematocrit and plasma protein are higher than the upper limit of normal reference range.
Treatment
Treatment guideline
Drug therapy is mainly used to reduce blood viscosity, anti-platelet aggregation and improve microcirculation.
Drug therapy
Drug dilution therapy is commonly used. Heparin, dipyridamole, aspirin, cardiac glycosides, low molecular dextrose, Salvia divinorum, Chuanxiong rhizoma, etc. can be used to make the blood thinner, vasodilatation, and increase the deformation ability of red blood cells.
Other treatments
1. Red blood cell mono-collection and plasma exchange therapy: by removing excessive red blood cells and proteins in the blood, it can rapidly reduce the blood viscosity and improve the clinical symptoms caused by it.
2. Active treatment of the primary disease.
Prognosis
Symptoms can be relieved after treatment.
Nursing care
Daily care
1. Keep in a happy mood and avoid emotional excitement.
2. Exercise moderately and insist on physical exercise.
3. Obese people should reduce weight.
4. Quit smoking and limit alcohol.
5. Regular physical examination.
Diet regulation
Meals should be light and low-fat. Eat less animal fat, offal, sweets, fried food and food with high calorie content, and eat more fresh vegetables and fruits. Drink more water.