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患者李×,女,44岁,汉族,工人。住院号97—10794,以“发现血压高三年,加重一月”为主诉,门诊以“高血压原因待查”收住。1994年4月突发剧烈头痛,在当地医院及兰州军区总院就诊,测血压180/100mmHg,诊为“高血压、脑血管痉挛”间断服用“心痛定片,巯甲丙脯酸片”效果尚可,近一年来病情逐渐加重,患者虽服用“心痛定片及巯甲丙脯酸片”,血压仍急剧上下波动,伴发作性心悸故入院。既往无肾炎、肾盂肾炎、血尿病史,否认有高血压家族史。入院查体:血压120/90mmHg,神清,消瘦体型,除心尖
Patient Li X, female, 44 years old, Han nationality, worker. The hospital number was 97-10794, and the main complaint was “the high blood pressure was found to be three years high and one month was aggravated”. The outpatient service was stopped with the “hypertension cause to be investigated”. In April 1994, a severe headache broke out. He was treated at a local hospital and the General Hospital of Lanzhou Military Area Command. Blood pressure 180/100mmHg was measured. He was diagnosed as “high blood pressure, cerebral vasospasm” and intermittently taking “Heartache tablet, Hepatitis B tablets”. In the past year, the condition has gradually increased. Although the patient took “Heartache tablets and Indomethacin tablets”, the blood pressure still fluctuates up and down, and he is admitted to the hospital with episodic palpitations. No previous history of nephritis, pyelonephritis, hematuria, denied a family history of hypertension. Admission examination: blood pressure 120/90mmHg, Shen Qing, weight loss, in addition to apex