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患者男,39岁。因头晕,乏力一周于1990年8月下旬首次来我院就诊。查体一般状况好,血压24.0/14.7kPa(180/110mmHg),心率72次/分,律齐,未闻杂音,双肺呼吸音清,颈部及腹部未闻及血管杂音,双下肢不肿。尿常规、胸透、心电图均正常。诊断“高血压原因待查,原发性高血压1期。”。立即给予硝苯吡啶10mg 舌下含服,20分钟后血压降至160/100mmHg,未诉不适,后给予硝苯吡啶10mg 每日三次口服。二日后由家人搀扶前来复诊,
Male patient, 39 years old. Due to dizziness, fatigue for the first time in late August 1990 to our hospital. Physical examination is generally good, blood pressure 24.0 / 14.7kPa (180 / 110mmHg), heart rate 72 beats / min, law Qi, unheard noise, clear breath sounds of both lungs, neck and abdomen is not known and vascular murmur, both lower extremities are not swollen . Urine routine, chest X-ray, ECG are normal. Diagnosis of “causes of hypertension to be investigated, primary hypertension 1.” Immediately given nifedipine sublingual 10mg, 20 minutes after the blood pressure dropped to 160 / 100mmHg, did not complain of discomfort, given nifedipine 10mg orally three times daily. Two days later by family members come to referral,