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第一次查房住院医师:请实习医师介绍病历摘要。实习医师:患者,女,36岁,自16岁起于劳累后出现头晕、黑(目蒙),曾在某院检查发现右臂血压为210/90mmHg,左侧血压未能测出,拟诊高血压待查,曾给予降压药物治疗。1970年5月患者来我院就诊,当时测右上肢血压为166/70mmHg,左上肢血压为90/40mmHg,X线胸片示上纵隔增宽,当时拟诊原发性大动脉炎综合征。1987年4月起出现双下肢浮肿、胸闷、心悸等症状,当年7月住当地医院,经检查发现两侧颈部闻及血管杂音,腹水征明显、肝肋下3～4cm,X线胸片示右下胸腔积液,拟诊为原发性大动脉
The first rounds of residency: the trainee to introduce medical records summary. Intern: Patient, female, 36 years old, dizziness, darkness (black eyes) since exertion at 16 years old. The right arm blood pressure was 210 / 90mmHg in a hospital and the left blood pressure could not be measured. Hypertension pending investigation, have been given antihypertensive drug treatment. May 1970 patients came to our hospital for treatment, when the right upper limb blood pressure was 166 / 70mmHg, left upper limb blood pressure was 90 / 40mmHg, X-ray showed widened mediastinum, was diagnosed with primary arteritis syndrome. April 1987 appear double lower extremity edema, chest tightness, heart palpitations and other symptoms, in July of that year to live in a local hospital, after examination found both sides of the neck smell and vascular murmur, ascites sign obviously, liver ribs 3 ~ 4cm, X-ray Show right lower pleural effusion, to be diagnosed as primary aorta