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1临床资料患者,女,46岁,因间断胸闷、心悸20年,乏力2个月于2011-01-17入院。患者20年前出现胸闷、心悸,无胸腹痛,在当地医院测血压230/90 mmHg(1 mmHg=0.133 kPa)间断服用降压药物治疗,血压控制不佳。近2个月全身乏力、夜间出汗,在当地医院行血管彩色超声提示全身动脉多发狭窄、闭塞。为进一步诊治收住我院。入院体检:血压:右上肢190/70 mmHg,左上肢130/90 mmHg,右下肢90/50 mmHg,左下肢90/50 mmHg,双侧颈部、耳后、锁骨上窝、胸部、腹部可闻及血管杂音,右侧颈部可触及震颤,心脏左下扩大,胸骨右缘第二肋间可闻及
1 clinical data, female, 46 years old, due to intermittent chest tightness, palpitations 20 years, 2 months fatigue in 2011-01-17 admission. Chest tightness, palpitations, and thoracic abdominal pain occurred 20 years ago in patients. Blood pressure was poorly controlled by intermittent use of antihypertensive drugs at 230/90 mmHg (1 mmHg = 0.133 kPa) in local hospitals. Nearly 2 months of generalized fatigue, sweating at night, blood vessels in the local hospital color ultrasound prompted systemic multiple stenosis, occlusion. For further diagnosis and treatment in our hospital. Physical examination: Blood pressure: 190/70 mmHg of right upper limb, 130/90 mmHg of left upper limb, 90/50 mmHg of right lower limb, 90/50 mmHg of left lower limb, bilateral neck, ear, supraclavicular fossa, chest and abdomen And vascular murmur, the right side of the neck can be touched tremor, the heart expands the lower left, the second intercostal sternal border can smell