患者,男性,49岁。因间断性头昏、头痛6月,胸闷、心慌2月,双下肢浮肿2周于1996年9月住院。测血压最高23/15kPa,服复方降压灵、心痛定可将血压降至正常。查体:血压18/12kPa。颈静脉无怒张。两肺呼吸者清。叩心界向左下扩大,心率86次/分,律齐。双下肢浮肿。心动超声示心左室肥厚。 入院后服卡托普利75mg/日(分三次口服)及双氢克尿噻治疗,出现轻度恶心、乏力,3天后因浮肿消退停用双氢克尿噻,继续服卡托普利一周后患者味觉丧失。查舌质淡红,舌体两侧及前中后部均对酸、甜、苦、咸味觉丧失,温觉正常,触觉正常,伸舌居 Patient, male, 49 years old. Due to intermittent dizziness, headache in June, chest tightness, palpitation in February, two-leg edema in 2 weeks in September 1996 hospitalization. Measuring blood pressure up to 23 / 15kPa, service compound buck Ling, heartache will be set to normal blood pressure. Physical examination: blood pressure 18 / 12kPa. Jugular vein without tension. Breathing both lungs clear. Knock heart bound to expand to the lower left, heart rate 86 beats / min, law Qi. Lower extremity edema. Echocardiography showed left ventricular hypertrophy. Admission of captopril 75mg / day (three times orally) and hydrochlorothiazide therapy, mild nausea, fatigue, 3 days after the withdrawal due to edema stopped hydrochlorothiazide, continue captopril a week After the patient loss of taste. Check the tongue pink, both sides of the tongue and the front and rear are on the acid, sweet, bitter, salty taste loss, normal temperature sense, normal touch, stretch tongue