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患者,男,39岁。8个月前始感头痛,在当地县医院检查血压32/16kPa,经降压治疗病情好转,但仍间常感头昏,不能胜任重体力劳动,近5天来症状加重,遂入院。既往体健,否认有高血压病史及高血压家族史。无肾病史。体查:体温37.2℃,脉搏72次,血压24/14kPa,慢性病容,平卧位,轻度贫血貌,无黄疸,面部无水肿。心界不扩大,心率72次,律齐,心尖区SM2/6,肺清,肝脾未及,无肿块及血管杂音。下肢无水肿。实验室检查:血红蛋白100g/L,HCO_3~-14mmol/L,BUN17.5mmol/L。眼底检查Ⅰ级。ECG、胸片及腹部B超正常。
Patient, male, 39 years old. 8 months ago began to feel headache, check the blood pressure in the local county hospital 32 / 16kPa, the condition improved by antihypertensive treatment, but still often feel dizzy, can not do heavy manual labor, the symptoms increased in the past 5 days, then hospitalized. Past physical health, denied a history of hypertension and family history of hypertension. No history of kidney disease. Physical examination: body temperature 37.2 ℃, pulse 72 times, blood pressure 24 / 14kPa, chronic disease, supine position, mild anemia appearance, no jaundice, facial edema. Heart does not expand, the heart rate 72 times, law Qi, apical SM2 / 6, lung clear, liver and spleen not yet, no lumps and vascular murmur. Lower extremity without edema. Laboratory tests: hemoglobin 100g / L, HCO_3 ~ -14mmol / L, BUN17.5mmol / L. Fundus examination Ⅰ level. ECG, chest X-ray and abdomen B-normal.