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患者,女性,48岁。1990年10月23日因发作性高血压就诊。详细询问病史,两个月前因化脓性扁桃体炎给予静脉输氨苄青霉素,每天6g,用10％葡萄糖注射液500ml。每天上午输完后,中午12时左右即出现头晕、头痛,无出冷汗及心悸、恶心、乏力,同时发现血压升高,可高达24/13.4kPa,持续约3～4小时后逐渐恢复正常。连续输液三天,情况均如此。第四天停药后血压未发现再升高。查体:甲状腺无肿大,心率81次/分,血压16.7/10.8kPa。肺部听诊(-),四肢运动如常,双下肢无浮肿,家族史及过敏史均无特殊记
Patient, female, 48 years old. October 23, 1990 due to high blood pressure treatment. Asked in detail about the history, two months ago for purulent tonsillitis given intravenous ampicillin, 6g daily, with 10% glucose injection 500ml. Dumbo, headache, no cold sweat and palpitations, nausea, fatigue, and elevated blood pressure, up to 24 / 13.4kPa after about 12 o’clock in the morning after dawn about 12 o’clock, gradually returned to normal after about 3 to 4 hours. Continuous infusion for three days, the situation is so. The fourth day after stopping the blood pressure was not found and then increased. Physical examination: thyroid without swelling, heart rate 81 beats / min, blood pressure 16.7 / 10.8kPa. Pulmonary auscultation (-), extremities exercise as usual, no lower extremity edema, no history of family history and allergies