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男患.56岁.患高血压病三年余,血压波动在190～130/110～90之间,常用降压药.1986年3月24日因头昏目眩加服双氢克尿塞,25mg tid,共服75mg.次日晨3时、6时各排尿一次,每次量约1800ml.9时许,患者突感右下肢疼痛、麻木,继之延至右上肢,约2分钟后感头晕、视物不清,迅即晕厥,8分钟后苏醒.查体:心率86次,血压110/90,神清,右上、下肢不能屈伸,痛觉减退,右侧腱反射增强,病理反射未引出.诊断为低血容量、短暂性脑缺血、偏瘫.经口服补液,针灸及对症治疗,病情渐好转.后随访半年,除血压仍高外,没发现任何后遗症.分析发病原因可能为患
Male suffering from .56 years old .Hypertensive disease more than three years, the blood pressure fluctuations in the 190 ~ 130/110 ~ 90, commonly used antihypertensive drugs .March 24, 1986 due to dizziness plus service hydrochlorothiazide, 25mg tid, a total of 75mg the next morning at 3 o’clock, at 6 o’clock each urination, each about 1800ml.9 o’clock, the patient suddenly felt the right lower extremity pain, numbness, followed by extension to the right upper limb, dizziness after about 2 minutes, depending on the material Clear, immediately fainting, wake up after 8 minutes. Physical examination: heart rate 86 times, blood pressure 110/90, Shen Qing, right upper and lower limbs can not flexion and extension, pain relief, enhanced right tendon reflexes, pathological reflex did not lead to diagnosis of hypovolemia , Transient ischemic, hemiparesis.After oral rehydration, acupuncture and symptomatic treatment, the condition gradually improved.After a follow-up of six months, except for the high blood pressure, did not find any sequelae.Analysis of the pathogenesis may be affected