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病历摘要患者男,60岁。近一年来反复出现呼吸困难。初始只于较重体力活动时出现,休息后可消失,逐渐发展至轻微体力活动也可出现呼吸困难。近日常于夜间睡眠时做恶梦憋醒,出冷汗,被迫坐起,急促呼吸后才能缓解,重新人睡。近二三年常觉乏力,情绪不稳定,易发怒,性欲低,既往曾多次患蜂窝织炎,5年前曾患败血症。发现血压高20余年平时血压24/14kpa左右,高时达28/16kpa。降压治疗效果不显著。(入院后降压治疗1周,血压为22/13kpa)
Patient summary Male, 60 years old. Repeated respiratory difficulties in the past year. The initial only when heavy physical activity occurs, can disappear after a rest, and gradually developed to slight physical activity can also occur dyspnea. Recently nightmares in the nighttime sleep often wake up, a cold sweat, forced to sit up, breathing can be alleviated after a short, re-sleep. Nearly two or three years often feel fatigue, emotional instability, irritability, low libido, previously had multiple cellulitis, had suffered from sepsis 5 years ago. Blood pressure was found more than 20 years of normal blood pressure 24 / 14kpa or so, up to 28 / 16kpa. Antihypertensive effect is not significant. (Antihypertensive treatment after admission 1 week, blood pressure was 22 / 13kpa)