直立性低血压与重度卧位高血压并存甚为罕见,颇难治疗。本院曾对一例随诊多年,现报告如下。 病例摘要 患者,女,22岁。1977年5月,无明显诱因于直立位时出现恶心、无力,眼前发黑,昏倒,意识不清,但无面色苍白,不出汗,无大小便失禁及四肢抽搐,即时测得坐位血压80/70mmHg,经卧床休息缓解,此后在站立时反复发生上述症状,血压最低时不能测出。1978年10月,于平躺时出现剧烈头痛、心悸、气 Orthostatic hypotension and severe co-existence of hypertension is very rare, quite difficult to treat. Our hospital had a case of follow-up for many years, the report is as follows now. Case Summary Female, 22 years old. May 1977, no obvious incentive in the upright bit nausea, weakness, black eyes, fainted, unconscious, but no pale, no sweating, no incontinence and limbs convulsions, instant measured blood pressure 80 / 70mmHg, after bed rest to ease, then repeatedly stand in the above symptoms, the lowest blood pressure can not be measured. October 1978, when lying in flat headache, palpitations, gas