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刘××、女性、46岁,病历号123941,患者以高血压13年右侧上下肢瘫痪伴意识障碍20小时于1983年10月19日入院。缘患者于13年前发现血压高,经常服地巴唑,利血平等。血压波动在150—240/100—140mmHg之间。七年前因出现发作性四肢无力,血钾低,补钾后迅速恢复,曾误诊为低钾型周期性麻痹,高血压病。第二次住院拟诊为原醛转北京某院,测定激发前后肾素减少,卧位立位血浆醛固酮增高。确诊为原醛,当时因某种原因未行手术治疗。服安体舒通及补钾、降血压治疗。但血压仍然波动在150—200/90—120mmHg之间。血钾维持在正常范围。83年10月工作比较累,19日下午在行走时发现右腿无力,嘴向左歪,语不利。被别人
Liu × ×, female, 46 years old, medical record number 123941, patients with hypertension on the right side of the upper limb paralysis for 13 years with disturbance of consciousness 20 hours in 1983 October 19 admission. Edge patients found high blood pressure 13 years ago, often taking methimazole, reserpine and so on. Blood pressure fluctuations between 150-240 / 100-140mmHg. Seven years ago due to paroxysmal limb weakness, low blood potassium, rapid recovery after potassium, have been misdiagnosed as hypokalemic periodic paralysis, hypertension. The second hospitalization for diagnosis of the original aldehyde to a Beijing hospital, measured before and after stimulation to reduce renin, supine position plasma aldosterone increased. The diagnosis of the original aldehyde, was not for some reason surgery. Spironolactone and potassium, lowering blood pressure treatment. However, blood pressure is still fluctuating between 150-200 / 90-120mmHg. Serum potassium maintained at normal range. 83 years in October work more tired, 19 afternoon found walking in the weakness of the right leg, mouth left crooked, language negative. By others