1患者,男,28岁,主诉头昏头痛半年余,再发加重伴腹部隐痛1周入院。患者半年来无明显诱因常出现头昏及头痛,记忆力差,工作效率低,有时视物模糊,曾到外院就诊血压为260/140mmHg(1mmHg=0.133kPa),查双侧肾上腺CT正常,拟诊为“继发性高血压,肾动脉狭窄”。建议行肾动脉造影,患者拒绝 1 patient, male, 28 years old, complained of dizziness and headache more than six months, recurrence and abdominal pain associated with 1 week admission. Patients with no obvious incentive for six months often appear dizziness and headache, poor memory, low efficiency, and sometimes blurred vision, had to the hospital for blood pressure 260 / 140mmHg (1mmHg = 0.133kPa), check the bilateral adrenal CT is normal, the diagnosis For “secondary hypertension, renal artery stenosis.” Recommended renal artery angiography, the patient refused