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患者女性,51岁。因头痛、头晕13年入院。查血压最高达23.9/13.9kPa(180/105mmHg),诊断为高血压病(二期)。当时查心电图提示低血钾,因自费未做电解质检查。患者否认有过四肢无力、软瘫及浮肿、视物模糊情况,否认肢端麻木、手足搐搦及多饮、多尿史,予以降压药物口服。8年前出现阵发性心悸、胸闷,查心电图示:心房纤颤,予以转复后心电图提示低血钾,查血钾2.2mmol/L。动态心电图示S-T段呈缺血改变,查四肢肌力、肌张力正常,四肢腱反射正常,予以口服补钾,2天后患者要求出院,出院后长年坚持口服“心律平与复方罗布麻片”。于1995
Patient female, 51 years old. Due to a headache, dizziness 13 years admitted. Check blood pressure up to 23.9 / 13.9kPa (180 / 105mmHg), diagnosed as hypertension (two). At that time check the ECG prompted hypokalemia, because at their own expense did not make electrolyte check. Patients have denied having limb weakness, paralysis and edema, blurred vision, deny numbness, tetany and drink, history of polyuria, to be antihypertensive drugs. 8 years ago, paroxysmal palpitations, chest tightness, check the ECG shows: atrial fibrillation, to be restored after electrocardiogram prompted hypokalemia, potassium potassium 2.2mmol / L. Dynamic electrocardiogram ST segment was ischemic changes, check the limb muscle strength, muscle tone normal, limb tendon reflexes normal to be oral potassium, patients discharged after 2 days, after discharge for many years insisted oral “heart rate and compound Apocynum” . In 1995