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病例介绍患者16岁,女性,因高血压住院。病者一向健康,直至1978年5月因喉痛就诊而发现血压为150/118。2周后检查血压为220/160。肾扫描及排泄式尿路X线片([VP)呈现右肾1个小瘢痕、左肾代偿性肥大。病者开始用盐酸甲基多巴250mg,每日2次,随后增至每日3次。因高血压持续而入院。她忆诉无寒战、发热、排尿困难、尿频、血尿、脓尿、胁腹或背痛,无链球菌感染、咽炎、尿道感染或其他尿路受累史。体检:T98.2°F,P70次,R24次,Bp170,′120,体重77 Kg,眼底、心、肺正常。无肝脾肿大及
Case description Patient 16 years old, female, hospitalized for hypertension. The patient had been healthy until May 1978 for sore throat treatment and found blood pressure was 150 / 118.2 weeks after the check blood pressure was 220/160. Renal scan and excretion of urinary tract X-ray ([VP) showed a small scar in the right kidney, left renal compensatory hypertrophy. The patient started with methyldopa hydrochloride 250mg, 2 times a day, then increased to 3 times a day. Because of persistent hypertension and admission. She recalled no history of chills, fever, dysuria, frequent urination, hematuria, pyuria, flank or back pain, no streptococcal infection, pharyngitis, urinary tract infection or other urinary tract involvement. Physical examination: T98.2 ° F, P70 times, R24 times, Bp170, ’120, weight 77 Kg, eyes, heart, lungs normal. No hepatosplenomegaly and