患者女性,15岁。因活动后心悸二年,发现血压升高八天,于1987年10月12日入院。入院前二年,常于活动后心悸、出冷汗。1987年9月12日无诱因剧烈头痛,视物发黄,住当地医院发现“眼底出血、水肿”,血压升高达23.8/15.5kPa,转我科。体检:体瘦,心肺腹无异常。外周浅表动脉触诊无异常。四肢血压:右上肢30.8/20.1kPa,右下肢25.4/18.8kPa,左上肢36.2/22.8kPa,左下肢26.8/20.1kPa。诊断:继发性高血压原因待查。入院后血压26.8～ Female patient, 15 years old. After two years of heart palpitations, he found that blood pressure rose for eight days and was admitted to hospital on October 12, 1987. Two years before admission, I often felt cramps and cold sweats after the event. September 12, 1987 no incentive due to severe headache, depending on the material yellow, live in the local hospital found that “fundus hemorrhage, edema,” blood pressure increased by 23.8/15.5kPa, transferred to our department. Physical examination: body thin, no abnormal heart and lung abdomen. Peripheral superficial artery palpation was not abnormal. Limb blood pressure: right upper limb 30.8/20.1 kPa, right lower limb 25.4/18.8 kPa, left upper limb 36.2/22.8 kPa, left lower limb 26.8/20.1 kPa. Diagnosis: The causes of secondary hypertension are unknown. After admission blood pressure 26.8 ~