患者男,66岁,因外伤致多发脑挫裂伤入院。体检:血压208/98 mm Hg,患者一般状况欠佳,心肺听诊无异常,双侧视力粗测正常,双侧瞳孔等大等圆,面部浅感觉正常。四肢肌力Ⅴ级,双上肢张力正常,双下肢张力高。患者既往高血压伴头痛,口服降压药控制在140/90 mm Hg。20多年前 Male patient, 66 years old, due to traumatic brain contusion caused by multiple hospital admission. Physical examination: blood pressure 208/98 mm Hg, poor general condition of patients, cardiopulmonary auscultation no abnormalities, normal bilateral gross visual acuity, bilateral pupil and other large circle, facial shallow feeling normal. Grade Ⅴ limb muscle strength, upper limb tension normal, high tension lower limbs. Patients with previous high blood pressure with headache, oral antihypertensive drugs controlled at 140/90 mm Hg. More than 20 years ago