Overview
All surgeries have the potential for certain risks, even if they’re routine procedures. One of these risks is the alteration of blood pressure.
People can experience high blood pressure after surgery for a number of reasons. Whether or not you develop this complication depends on the type of surgery you’re having, the type of anesthesia and medications administered, and whether or not you had issues with blood pressure before.
通过记录测量血压两个数字。顶部数量是收缩压。它描述了当你的心脏打击和抽血时的压力。底部数量是舒张压。当你的心脏在节拍之间休息时,这个数字描述了压力。例如,您将看到显示为120/80 mmhg(毫米的汞)的数字。
根据美国心脏病学院(ACC)和美国心脏协会(AHA),这些是范围正常,升高,高血压:
- 普通的:不到120个收缩量,少于80舒张
- 升高:120 to 129 systolic and under 80 diastolic
- 高的:130或更高的收缩量或舒张80或更高
心脏手术和涉及主要血管的其他手术通常与血压尖峰的风险有关
具有较差的高血压意味着您的号码在高范围内,并且您的血压并没有得到有效处理。这可能是因为医生尚未在手术前诊断出来,你目前的治疗计划没有工作,或者你也许你没有经常服用药物。
If your body was used toblood pressure-lowering medications,你可能会突然脱离它们而遭受退出。有了某些药物,这意味着你可能会突然存在血压。
It’s important to tell your surgical team, if they’re not already aware, what blood pressure medications you’re taking and any doses you’ve missed. Often some medications can even be taken on the morning of surgery, so you don’t have to miss a dose. It’s best to confirm this with your surgeon or anesthesiologist.
生病或痛苦会导致你的血压高于正常。这通常是暂时的。在治疗疼痛后,你的血压会回去。
正在进行麻醉会对您的血压产生影响。专家note that the upper airways of some people are sensitive to the placement of a breathing tube. This can activate theheart rate暂时增加血压。
麻醉中的恢复可以达到高血压的人也很难。体温等因素和数量intravenous (IV) fluids需要在麻醉和手术can elevate blood pressure.
One possible side effect of surgery and being under anesthesia is that parts of your body might not receive as much oxygen as needed. This results in less氧在你的血液中,一种叫低氧血症的病症。结果可能会增加血压。
Certain prescription or over-the-counter (OTC) drugs can increase your blood pressure. Oneknown side effectof非甾体类抗炎药(NSAID)可以对已经具有高血压的人的血压增加。如果您在手术前已经有高血压,请与您的医生交谈疼痛管理选择。They may recommend different medications or have you alternate drugs, so you’re not taking one over the long term.
以下是常见的NSAID,既有处方和OTC的一些例子,可以增加血压:
- 布洛芬(advil,motrin)
- Meloxicam(Mobic)
- naproxen (Aleve, Naprosyn)
- Naproxen钠(Anaprox)
- 皮拉西菌(FELDENE)
如果您没有高血压的历史,手术后血压中的任何尖峰都很可能是暂时的。它通常持续1到48小时。医生和护士将监测您并使用药物将其恢复到正常水平。
提前控制的现有高血压将有所帮助。在手术后管理患有高血压风险的最佳方法是与您的医生讨论计划。