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厌学林,女,50岁,农民。患高血压10年余,因头晕、恶心呕吐不适在当地医院测血压22/14kPa,诊断高血压脑病,给予降压,输入葡萄糖、甘露醇等药物治疗,病情逐渐加重,因昏迷、抽搐4小时才以昏迷原因待查,转我院。 查体:体温37℃,呼吸深大,30次/分;血压20/12kPa;面部口唇潮红,昏迷,心率100次/分,无病理性
Wear school Lin, female, 50 years old, farmer. More than 10 years suffering from hypertension, dizziness, nausea and vomiting discomfort in the local hospital blood pressure 22 / 14kPa, diagnosis of hypertensive encephalopathy, given antihypertensive, glucose, mannitol and other drug treatment, the condition gradually aggravated by coma, convulsions 4 hours To coma reason to be investigated, transfer to our hospital. Physical examination: body temperature 37 ℃, deep breathing, 30 beats / min; blood pressure 20 / 12kPa; facial lip flush, coma, heart rate 100 beats / min, no pathological