The medical risk is high and the prognosis is difficult to judge. Transfer to secondary and above hospitals is based on the patient's condition. Grassroots medical and health institutions shall promptly transfer the cases in the following situations to secondary and above hospitals, with the criteria of complex illness, high medical risk and difficult prognosis judgment. Hospital refers to a medical institution that provides necessary medical examination, treatment measures, nursing technology, consulting services, rehabilitation equipment, rescue and transportation services for patients with the main purpose of saving lives in accordance with laws, regulations and industry norms.
Hypertensive crisis (that is, hypertensive emergency and sub-emergency) must be referred;
Whether the diagnosis of primary hypertension is unclear, or whether secondary hypertension needs referral must be further ruled out;
Refractory hypertension needs referral;
Hypertension complicated with other systemic diseases or other diseases that cannot be handled by community hospitals is also recommended for referral.
Hypertension refers to a clinical syndrome (systolic blood pressure ≥ 65,438+0.40mm Hg, diastolic blood pressure ≥ 90mm Hg) characterized by the increase of systemic arterial blood pressure (systolic blood pressure and/or diastolic blood pressure), which may be accompanied by functional or organic damage to heart, brain, kidney and other organs. Hypertension is the most common chronic disease and the most important risk factor for cardiovascular and cerebrovascular diseases.
The blood pressure of normal people fluctuates within a certain range with the changes of internal and external environment. In the whole population, the blood pressure level gradually increases with age, especially systolic blood pressure, but after 50 years old, diastolic blood pressure shows a downward trend, and pulse pressure also increases.
In recent years, people's understanding of the role of various risk factors of cardiovascular diseases and the protection of target organs of heart, brain and kidney has been deepened, and the diagnostic criteria of hypertension have been constantly adjusted. At present, it is considered that patients with the same blood pressure level have different risks of cardiovascular disease, so the concept of blood pressure stratification has emerged, that is, patients with different cardiovascular disease risks should have different appropriate blood pressure levels.