患男,43岁,以头痛、头昏(?)d,于1991年3月20日以“高血压Ⅱ期”入院.查体:血压24/15kPa,神志清,自动体位,查体合作,颈软,五官端正。双肺无异常,心界左下扩大,心率86次/min,节律齐,无明显杂音,腹部无异常.四肢活动自如,双下肢轻度水肿,肌力正常,肌张力不高,心电图示:窦性心律、电轴左偏、左室肥大并劳损。眼底检查:高血压眼底Ⅱ级.心脏常规片示:左室扩大.入院诊断:高血压病Ⅱ期;高血压性心脏病并心功能不全.入院后即予口服硝苯吡啶10mg,3次/d,同时加用双克、氨苯碟啶治疗.住院第3d,血压降至正常,双下肢水肿消失,停用利尿剂,继服硝苯吡啶治疗5d。晨查房时,患者自述近日来双下肢站立不能,行走困难。查体:四肢肌张力高,肌腱反射正常,无病理反射,嘱患者站立时,躯干向前弯倾,双下肢僵硬,行走需用力方能抬起下肢,并需人扶住,起步困难。即停用硝苯吡啶,改用复方降压片治疗,观察3d,患者逐渐自行恢复,肌张力 Male, 43 years old, with headache, dizziness (?) D, March 20, 1991 to “high blood pressure phase Ⅱ.” Physical examination: blood pressure 24 / 15kPa, Soft neck, facial features. No abnormal lungs, left heart expanded heart rate, heart rate 86 beats / min, rhythm Qi, no obvious noise, no abnormal abdomen. Extremities with ease, mild lower extremity edema, muscle strength, muscle tone is not high, ECG shows: sinus Rhythm, left axis deviation, left ventricular hypertrophy and strain. Fundus examination: Hypertensive fundus Ⅱ grade. Cardiac routine film showed: left ventricular enlargement. Admission diagnosis: Hypertension Ⅱ period; Hypertensive heart disease and cardiac insufficiency .After admission, oral nifedipine 10mg, 3 times / d, at the same time with double grams, methamidrosis treatment.On the third day of hospitalization, blood pressure dropped to normal, double lower extremity edema disappear, diuretic withdrawal, followed by nifedipine treatment 5d. Chen morning check-up, the patient self-statement recently can not stand both lower extremities, walking difficulties. Physical examination: limb muscle tension, normal tendon reflexes, no pathological reflex, Zhu Huanzhe stand, the torso bent forward, both lower extremity stiffness, walking force required to lift the lower limbs, and the need to hold, starting difficulties. That is, disable nifedipine, switch to compound antihypertensive treatment, observation 3d, patients gradually self-recovery, muscle tension