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患者,男,69岁,因“发现高血压5年,头晕1年,加重20余天伴腹痛1d”入院。患者发现高血压5年,平日服用降压药(具体不详),血压控制欠佳,未正规监测血压。患者近1年来出现头晕,未予特殊处理。20余天前患者头晕加重,不伴腹痛,于我院肾内科就诊,超声示:腹主动脉瘤伴附壁血栓,左肾缩小。CT上腹部血管三维重建增强扫描示:主动脉、双髂动脉明显扭曲、壁钙化,伴薄层附壁血栓形成,右侧髂内动脉局部
Patients, male, 69 years old, because of “high blood pressure found 5 years, 1 year dizziness, aggravating more than 20 days with abdominal pain 1d ” admission. Patients were found to have hypertension for 5 years, taking antihypertensive drugs on weekdays (not yet specified), poor blood pressure control and no regular blood pressure monitoring. Dizziness in the last 1 year, no special treatment. More than 20 days before the patient dizziness aggravated, not accompanied by abdominal pain in our hospital renal medicine treatment, ultrasound showed: abdominal aortic aneurysm with wall thrombus, left kidney shrink. Three-dimensional reconstruction of the upper abdomen with CT showed that the aorta and iliac arteries were obviously distorted, the wall was calcified, with thin-wall mural thrombosis, the right internal iliac artery