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患者 男,59岁。慢性咳喘10年,痰中带血3个月,于1994年6月15日入院。既往无高血压及肾病史。平素进食正常,体重无变化。体检:心率102次,律齐,右肺闻及湿性啰音,双下肢无浮肿。血压16/11kPa。每日测血压1次均在正常范围。实验室检查:血、尿、便常规正常,血pH7.484,肝、肾功能正常。空腹血糖4.3mmol/L,血钾2.9mmol/L,钠134mmol/L,氯100mmol/L,CO_2CP21.3mmol/L,血浆肾素活性1.0ng/(ml.h)(正常值2.97±1.02ng/(ml·h),血管紧张素Ⅱ108.8ng/L(正常值85.2±30.0ng/L),血浆醛固酮221ng/L(正常值101±39ng/L)。X线胸片提示右下肺慢性炎症,肾上腺
Male patient, 59 years old. Chronic cough 10 years, sputum bloody 3 months, on June 15, 1994 admitted. No previous history of hypertension and kidney disease. Normal eating normal, no change in weight. Physical examination: heart rate 102 times, law Qi, right lung smell and wet rales, no swelling of both lower extremities. Blood pressure 16 / 11kPa. Daily blood pressure 1 in the normal range. Laboratory tests: blood, urine, they are normal, blood pH7.484, liver and kidney function is normal. Fasting plasma glucose was 4.3 mmol / L, serum potassium 2.9 mmol / L, sodium 134 mmol / L, chloride 100 mmol / L, CO 2 CP 21.3 mmol / L and plasma renin activity 1.0 ng / (ml.h) (normal 2.97 ± 1.02 ng / (ml · h), angiotensin Ⅱ 108.8ng / L (normal value 85.2 ± 30.0ng / L) and plasma aldosterone 221ng / L (normal value 101 ± 39ng / L) Adrenal