患者,女,45岁。急频、尿急、腿痛12年,10年来血压升高,一年来食欲不振、手足抽搐于1983年10月25日入院。体检:B_p160/100MMHg,面部浮肿,贫血貌,牙无氟斑,心向左侧扩大,心尖部可闻Ⅲ级收缩期杂音,右肾区有叩击痛,脊柱无畸形。实验室检查:血色素4、0克,血小板12万,血钾18、5毫克%钙6、5毫克%,磷6、8毫克%,二氧化碳结合力12、6, Patient, female, 45 years old. Urgent urgency, urgency, leg pain for 12 years, 10 years of high blood pressure, loss of appetite over the past year, hand, foot convulsions admitted on October 25, 1983. Physical examination: B_p160 / 100MMHg, facial edema, anemia appearance, dental fluorosis, heart to the left to expand, apical symphysis can be heard systolic murmur, right kidney area percussion pain, no deformity of the spine. Laboratory tests: hemoglobin 4,0 g, platelets 120,000, potassium 18,5 mg% calcium 6,5 mg% phosphorus 6,8 mg%, carbon dioxide binding 12,6,