高血压是心血管系统的常见病,通常以头痛、头晕、眼花、耳鸣为主要临床表现,也可伴有鼻衄、咯血等症状,但以鼻衄为主诉症状者尚未见报道,现将我科遇到的3例以鼻衄为首发症状的原发性高血压报告如下.临床资料 3例患者均主诉鼻衄,在耳鼻喉科就诊,专科检查为鼻腔后部出血,无其它特殊发现,但血压较高,局部压迫止血后转入我科,经详细询问病史、测血压、全面体检、做心电图、超声心动图、X线胸片、眼底、肝肾功能及内分泌等检查,最后确诊为原发性高 Hypertension is a common disease of the cardiovascular system, usually headache, dizziness, vertigo, tinnitus as the main clinical manifestations may also be associated with epistaxis, hemoptysis and other symptoms, but the main symptoms of epistaxis have not been reported, now I Section encountered in 3 cases of epistaxis as the first symptom of essential hypertension reported as follows.Clinical data of 3 patients were complained of epistaxis, ENT treatment, specialist examination for the rear nasal bleeding, no other special findings, However, high blood pressure, local oppression hemostasis into our department, after detailed medical history, blood pressure, a comprehensive physical examination, ECG, echocardiography, X-ray, fundus, liver and kidney function and endocrine examination, the final diagnosis High primary