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陈××,女,34岁,农民,住院号21162.患者于1973年起有高血压,但无肾炎史。1978年因患原发性高血压而收住本院治疗。以后血压常被动在160～240/120～140毫米汞柱。这次因上呼吸道感染伴有高血压,在其他医院住院期间曾用过硝普钠,治疗无效后于1980年7月19日转入我院。入院体检:体温38℃,脉搏98次/分,血压260/150毫米汞柱。精神萎靡,面色苍白,呼吸急促,口唇无明显紫绀,颈静脉轻度怒张,两肺底可闻少量细湿罗音,心浊音界左侧达锁骨中线外2厘米,心律齐,腹软,肝脾触诊不满意(半卧位)。两下肢(?)度凹陷性浮肿。两眼底视乳头色泽苍白,网膜静脉变
Chen × ×, female, 34 years old, farmer, hospital number 21162. The patient had high blood pressure since 1973, but no history of nephritis. In 1978 due to suffering from essential hypertension hospital treatment. After the blood pressure is often passive in the 160 ~ 240/120 ~ 140 mm Hg. This time due to upper respiratory tract infection associated with high blood pressure, sodium nitroprusside was used during hospitalization in other hospitals, after treatment was invalid in July 19, 1980 into our hospital. Admission medical examination: body temperature 38 ℃, pulse 98 beats / min, blood pressure 260/150 mm Hg. Apathetic, pale, shortness of breath, no obvious cyanosis of the lips, mild jugular jugular tone, two lungs can smell a small amount of fine wet rales, the heart of the voiced voice to the left beyond the midline of the clavicle 2 cm, rhythm Qi, abdomen soft, Not satisfied with liver and spleen palpation (semi-recumbent position). Two lower limbs (?) Degree of depression edema. Eyes look at the bottom of the lens pale, retinal vein change