论文部分内容阅读
男性,63岁。因血压增高2年,水肿及行走不稳月余入院。2年前体检发现血压22.7/13.3kPa,一年前血压波动在25.3～30.7/12.0～13.3kPa,伴头昏心悸。1月前全身水肿,视物族转,行走不稳,血压增至33.3/16.0kPa。体查:双上肢血压23.3/13.3kPa,右下肢14.7/9.33kPa,左下肢17.3/10.7kPa。卧位神清合作,双侧颈部可闻及血管性杂音,左>右。心尖搏动在第5肋间左锁骨中线外2cm,范围弥散,二尖瓣区可闻及Ⅱ级收缩期杂音,心尖部第一音增强,A_2>P_2。肝肋下4cm,剑突下6cm,脾肋下平脐,脐两侧可闻及喷射性血
Male, 63 years old. Due to increased blood pressure for 2 years, edema and walking unsteadiness on more than admission. Two years ago the physical examination found that blood pressure 22.7 / 13.3kPa, a year ago, blood pressure fluctuations in the 25.3 ~ 30.7 / 12.0 ~ 13.3kPa, accompanied by fainting palpitations. Body edema 1 month ago, depending on the family race, walking unstable, blood pressure increased to 33.3 / 16.0kPa. Physical examination: double upper limb blood pressure 23.3 / 13.3kPa, right lower limb 14.7 / 9.33kPa, left lower limb 17.3 / 10.7kPa. Supine Shen cooperation, both sides of the neck can be heard and vascular murmur, left> right. Apical beating in the 5th intercostal left subclavian midline 2cm, the scope of dispersion, mitral valve area can be heard and Ⅱ systolic murmur, apical first sound enhancement, A_2> P_2. Liver ribs 4cm, xiphoid 6cm, splenic rib flat umbilical cord can be heard on both sides of the umbilical and blood