Hata Mitsumasa, Akiyama Kenji, Wakui Shinji, Takasaka Ayako, Shiono Motomi
Department of Cardiovascular Surgery, Nihon University, Nerima Hikarigaoka Hospital, Tokyo, Japan.
Thorac Cardiovasc Surg. 2012 Dec;60 Suppl 2:e31-2. doi: 10.1055/s-0032-1322610. Epub 2012 Nov 24.
We report the relationship between rapid aortic enlargement of chronic type B aortic dissection and sleep disorder due to anxiety after Tohoku disaster. Five patients underwent surgical procedures due to rapid aortic enlargement after the earthquake disaster. They reported that their morning blood pressure increased to approximately 190 mm Hg after the disaster. They were troubled with severe insomnia due to anxiety about the continuing aftershocks. In primary care for patients with mental stress after a big disaster, it is important to keep a careful monitoring of blood pressure besides assessment of anxiety and sleep.
我们报告了慢性B型主动脉夹层的主动脉快速扩张与东北灾难后因焦虑导致的睡眠障碍之间的关系。5例患者因地震灾难后主动脉快速扩张而接受了外科手术。他们报告说，灾难后他们的晨起血压升至约190毫米汞柱。他们因对持续余震的焦虑而饱受严重失眠之苦。在对重大灾难后有精神压力的患者进行初级护理时，除了评估焦虑和睡眠外，密切监测血压也很重要。
