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张×,男,53岁,高血压25年,反复发作无力3年。1957年偶测血压180/110,1974年因高血压并发脑出血入院行血肿清除,术后愈合良好,但遗留癫痫症。自1979年以来,出现多饮、多尿、日饮水多达2～3水瓶,夜尿多达2000ml,同时伴有四肢无力,尔后卧床不起,呼吸困难、腹胀、心慌而住院治疗。血钾2.0mEq/L左右,EKG低钾表现,每次经过补钾后症状好转,但血钾仍不能正常,于1982年8月30日入院。检查:血压130/80,左上腹可见饱满感,可及拳头
Zhang X, male, 53 years old, had high blood pressure for 25 years and had recurrent weakness for 3 years. In 1957, even measured blood pressure 180/110, 1974 due to high blood pressure cerebral hemorrhage admitted to hospital for hematoma clearance, postoperative healing, but left epilepsy. Since 1979, there have been many drinking, polyuria, drinking water up to 2 to 3 water bottles, nocturnal urine up to 2000ml, accompanied by limb weakness, then bedridden, breathing difficulties, abdominal distension, palpitation and hospitalization. Blood potassium was about 2.0mEq/L. EKG showed low potassium. The symptoms improved after potassium supplementation each time. However, potassium was still not normal. He was admitted to hospital on August 30, 1982. Check: blood pressure 130/80, full sensation in the upper left abdomen, can reach the fist