病人,男,37岁。因心前区不适,右下肢麻木,活动障碍4h急症入院。病人高血压史6年,BP波动范围(32~37．3)/(17．3~19．6)kPa．体检:BP 37．3/18．7kPa,面色苍白,反应迟钝,双肺呼吸音减弱,胸骨左缘3~4肋间可闻及舒张期杂音,腹软,肝肋下3cm,腹水征(+),病理反射未引出。入院后立即给予吸氧、降压等治疗,血压降至32．0/16．5kPa后行颅 Patient, male, 37 years old. Due to precordial discomfort, right lower limb numbness, mobility disorder 4h admission. Patient history of hypertension for 6 years, BP fluctuation range (32 ~ 37.3) / (17.3 ~ 19.6) kPa. Physical examination: BP 37.3 / 18.7kPa, pale, unresponsive, lung breath sounds weakened, sternal left intercostal 3 to 4 can be heard intercostal diastolic murmur, abdominal soft, liver ribs 3cm, signs of ascites (+ ), Pathological reflex did not lead. Immediately after admission to give oxygen, blood pressure and other treatment, blood pressure dropped to 32.0 / 16.5kPa after cranial