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病历摘要张某,男,72岁。于1992年2月10日入院。患者有高血压病史10余年,长期间断服降压片、芦丁等药治疗。入院前1天,因心悸、气喘在门诊就医,测血压31/15kPa,用心痛定、罗布麻等药治疗,效不显。患者无恶寒、怕冷、发热、咳嗽、胸痛等症状。体检:T36.5℃,P120次/分,R20次/分,BP24.5/14.2kPa。心肺听诊,除心率略速未发现其它异常。三大常规检查均正常。初步诊断为原发性高血压Ⅰ期.继续降压降脂治疗次日,病人血压降至20/12kPa,但病人精神差,语言迟钝,口角向左歪斜,
Medical record Zhang, male, 72 years old. Admitted to hospital on February 10, 1992. Patients with hypertension history of more than 10 years, long-term off service tablets, rutin and other drug treatment. One day before admission, due to heart palpitations, asthma in the clinic for treatment, measuring blood pressure 31 / 15kPa, pain pain, Apocynum and other drugs, the effect is not significant. Patients without chills, cold, fever, cough, chest pain and other symptoms. Physical examination: T36.5 ℃, P120 beats / min, R20 beats / min, BP24.5 / 14.2kPa. Cardiopulmonary auscultation, in addition to heart rate slightly found no other abnormalities. The three routine tests are normal. The initial diagnosis of essential hypertension stage I. Continued antihypertensive lipid lowering treatment the next day, the patient’s blood pressure dropped to 20 / 12kPa, but the patient’s mental retardation, slow speech, skew to the left corner,