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1病例资料病例1:患者男,63岁,因头痛、头晕、血压不稳定,于2009年10月10日就诊。体检:T 37.1℃,P78次/min,R 17次/min,BP 165/100 mmHg。未发现其他阳性体征。患者既往有高血压病史5年。无糖尿病史,无药物及食物过敏史。近期无肠道疾病史。近期服用酒石酸美托洛尔片(倍他乐克)50 mg,bid,依那普利片(乐宁定)10 mg,qd。实验室检查:血浆总胆固醇(TC)7.8 mmol·L~(-1),三酰甘油(TG)2.81mmol·L~(-1),低密度脂蛋白(LDL-C) 4.6 mmol·L~(-1)。头部CT示:多发性腔隙性脑梗死。颈动脉彩色B超示:颈动脉狭窄、梗死。诊断:高血压病,高脂血症,多发性腔隙性脑梗死。
1 Case Information Case 1: Male patient, 63 years old, due to headaches, dizziness, unstable blood pressure, on October 10, 2009 treatment. Physical examination: T 37.1 ° C, P78 times / min, R 17 times / min, BP 165/100 mmHg. No other positive signs were found. The patient had a history of hypertension for 5 years. No history of diabetes, no history of drug and food allergies. No recent history of intestinal disease. Recently taking metoprolol tartrate tablets (Betaloc) 50 mg, bid, enalapril tablets (Le Ning Ding) 10 mg, qd. Laboratory tests included 7.8 mmol·L -1 total cholesterol (TC), 2.81 mmol·L -1 triglyceride (TG), 4.6 mmol·L -1 LDL-C, (-1). Head CT showed: multiple lacunar infarction. Carotid color B ultrasound showed: carotid artery stenosis, infarction. Diagnosis: Hypertension, hyperlipidemia, multiple lacunar infarction.