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例1 男性,43岁,因持续性高血压年半,周身无力3个月于1978年4月18日住院。1976年11月因尿路刺激症状住院检查,测量血压190/130毫米汞柱,经治达4月之久,一直波动于210—190/130—110毫米汞柱,无其他不适。然自1977年9月以来,感头昏,视力模糊,周身无力,四肢软弱;下肢有蚁走感。烦渴多尿,每天喝水12—14斤,每昼夜排尿均在2,000毫升以上,进食正常。体格价查:血压190/128毫米汞柱,一般情况良好,头颅五官正常,甲状腺不大;心界向左稍扩大,心尖可闻Ⅱ—Ⅲ级收缩期杂音,主动脉瓣区第二音稍亢,肺动脉瓣区第二音分
Example 1 A male, 43 years old, was hospitalized on April 18, 1978 for 3 months due to persistent hypertension which lasted for 3 months. In November 1976, he was hospitalized for urinary tract irritation and his blood pressure was measured at 190/130 mm Hg. After treatment for 4 months, he had been fluctuating at 210-190/130-110 mm Hg, with no other discomfort. However, since September 1977, the sense of dizziness, blurred vision, whole body weakness, weak limbs; Idiopathic and polyuria, drinking water 12-14 pounds per day, urinating more than 2,000 ml per day and night, eating normally. Physical examination: blood pressure 190/128 mm Hg, generally good condition, normal head and thyroid gland, small thyroid gland, slight expansion of the heart boundary to the left, atrial systolic murmur at the apex, and a second tone in the aortic valve area亢 第二 , Pulmonary valve area second sound