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患者、陈某、女、60岁、住院号113766、发现血压高10年,无肾脏病史。平时血压波动在180～190/90～110之间。两周前出现头痛、头昏、视力模糊,且胸闷、气短,伴尿少、浮肿,遂收入住院。查体:Bp250/140,神志清,能正确对答,心界向左下扩大,心律齐,心尖部可闻Ⅱ级收缩期柔和的吹风样杂音,A_2>P_2,两肺未闻干湿性罗音,肝脾未触及,腹部无移动性浊音,双下肢有凹陷性浮肿。眼底检查:视网膜动脉硬化Ⅲ期,眼
Patient, Chen, female, 60 years old, hospital number 113766, found that hypertension for 10 years, no history of kidney disease. Usually fluctuations in blood pressure 180 ~ 190/90 ~ 110 between. Two weeks ago, headache, dizziness, blurred vision, and chest tightness, shortness of breath, with less urine, edema, then income hospitalization. Physical examination: Bp250 / 140, clear mind, can correct answer, the heart to expand to the lower left, heart Qi Qi, apical symphysis can be heard soft hair-like murmur, A_2> P_2, , Liver and spleen not touched, abdominal dullness without mobility, depression of both lower extremities edema. Fundus examination: retinal atherosclerosis Ⅲ, eye