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问:一例49岁男性患轻度高血压,对利尿剂及异搏定有反应。1990年其血压难以控制,改以甲巯丙脯酸及心痛定治疗。患者为空调冷冻机技术员,一次工作中不慎,氟利昂喷洒在睑上。送地区医院急诊发现血压升高至230/140mmHg。血生化、双侧肾脏及肾上腺动脉造影及 CT 检查均正常,用甲巯丙脯酸、心痛定及利尿剂均未能满意地控制血压。引起血压严重升高的原因是否为接触氟利昂?答:这是开业医师经常面临的问题,接触药物或化
Q: A 49-year-old man with mild hypertension had a diuretic and verapamil response. Difficult to control its blood pressure in 1990, changed to captopril and nifedipine treatment. The patient was an air-conditioner freezer technician who accidentally worked on the job and Freon was sprayed on the eyelid. Emergency regional hospital sent to find blood pressure increased to 230 / 140mmHg. Blood biochemistry, bilateral renal and adrenal artery angiography and CT examination were normal, with captopril, nifedipine and diuretic failed to control blood pressure satisfactorily. Cause of a serious increase in blood pressure is the cause of exposure to Freon? A: This is often the problem physicians are facing, contact with drugs or