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1 临床资料男患,58岁,以反复头晕2年为诉入院。患者于2年前出现反复头晕,1年前被诊断为高血压病Ⅱ期、高脂血症、脂肪肝。并给予长效心痛定、复方丹参滴丸、力平脂治疗,血压逐渐下降并稳定在130-140/80-90mmHg,但血胆固醇没有明显下降,入院前3天门诊改用氟伐他汀(商品名:来适可)40mg.qn.治疗。第2日清晨患者感腹中极度饥饿、头晕、乏力、心悸、大汗,持续约半小时,门诊测血压130/70mmHg,心率80次/分。考虑:低血糖?糖尿病?高血压病Ⅱ期、高脂
1 male patient data, 58 years old, dizziness repeated drowsiness 2 years admitted to hospital. Patients with repeated dizziness 2 years ago, a year ago was diagnosed with hypertension Ⅱ, hyperlipidemia, fatty liver. And given long-acting nifedipine, compound Danshen dripping pills, Liping fat treatment, blood pressure gradually decreased and stabilized at 130-140 / 80-90mmHg, but no significant decline in blood cholesterol, 3 days before admission to switch to fluvastatin (goods Name: to appropriate) 40mg.qn. Treatment. On the second day of the morning, the patient felt hungry, dizzy, weak, palpitations and sweating for about half an hour. The outpatient blood pressure was 130 / 70mmHg and the heart rate was 80 beats / min. Consider: hypoglycemia? Diabetes? Hypertension Ⅱ, high-fat