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1病例患者,男性,55岁,“发现水肿、蛋白尿3月”入院,患糖尿病16年,平时应用胰岛素降糖。发现高血压3年,血压最高170/110mm Hg(1mm Hg=0.133kPa),服用氨氯地平5mg/d、替米沙坦40mg/d和美托洛尔25mg 2次/d治疗,血压控制于140~150/70mm Hg;因头晕1月,CT检查提示腔隙性脑梗死。入院查体:血压150/90mm Hg,心肺检查未见明显异常,双下肢
1 case of patients, male, 55 years old, “found edema, proteinuria March ” admission, suffering from diabetes for 16 years, usually the application of insulin hypoglycemic. High blood pressure was found 3 years, the highest blood pressure 170/110 mm Hg (1mm Hg = 0.133kPa), taking amlodipine 5mg / d, telmisartan 40mg / d and metoprolol 25mg 2 times / d treatment, blood pressure control at 140 ~ 150 / 70mm Hg; due to dizziness in January, CT examination showed lacunar infarction. Admission examination: blood pressure 150 / 90mm Hg, no significant abnormalities in cardiopulmonary examination, both lower extremities