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病历摘要患者,女性,44岁,工人,住院号:39489,因腹胀、呕吐二周,逐日加重,于1980年1月14日入院。患者于1977年洗浴中突然昏倒,经查血压220/140毫米汞柱,未经特殊治疗缓解,也未作系统检查。于1979年10月工作期间突然感到头晕、视物不清,在当地医院检查眼底有新鲜的与陈旧性出血而住院治疗。查血压190/130毫米汞柱,病人常感四肢“发凉”、关节疼痛,诊断“高血压病”、“类风湿性关节炎”,经口服复方降压片及抗风湿药治疗月余,好转出院。于1979年12月中旬出现颜面浮肿、两颊
Patient, female, 44 years old, worker, hospital number: 39489, admitted to hospital on January 14, 1980 due to increased abdominal distension and vomiting on a daily basis. Patients suddenly collapsed in bathing in 1977, the blood pressure 220/140 mm Hg, without special treatment to ease, nor for systematic examination. Suddenly felt dizzy during the working hours in October 1979, depending on the material, hospitalized with fresh and old bleeding at the local hospital. Blood pressure 190/130 mm Hg, the patient often feel limbs, “cold”, joint pain, diagnosis of “hypertension”, “rheumatoid arthritis”, oral administration of antihypertensive tablets and anti-rheumatic drugs for more than a month, Improvement discharged. In mid-December 1979 appeared facial edema, cheeks