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徐某,女性,48岁,自1973年起偶感头晕、头痛,当时血压140/90,休息后可恢复正常。1976年起频发头晕、头痛,血压有时升达170/110,服复降片、安定及休息后症状可缓解,血压可降至正常。又因性情急躁、食欲减退、月经紊乱,诊断为更年期综合征。在1982年6月21日住院前3天头痛加重,自服去痛片,前夜与客人交谈兴奋时突然昏倒,口吐白沫,唤之不应,约6分钟后神志转清,诉头痛剧烈,呕吐一次,即来急诊。急诊时测血压200/120,神志尚清,瞳孔等大,对光反应好,颈软,心率72次,律齐,两肺(-),腹软,四肢活动佳。心电图示窦性心律不齐及U_(v5～v6)双相。拟诊为原发性高血压与高血压脑病,给予静脉注射25％硫酸镁20ml、
Xu, a woman, aged 48, has been dizzy and has a headache since 1973. Her blood pressure was 140/90 at that time, and she returned to normal after a break. Frequent dizziness, headache and blood pressure since 1976, sometimes up to 170/110, service diplopia tablets, stability and rest can ease the symptoms, blood pressure can be reduced to normal. Because of the impatience, loss of appetite, menstrual disorders, diagnosis of menopausal syndrome. In June 21, 1982 3 days before hospitalization aggravated headache, self-service to painkillers, talking to the guests on the eve of the sudden excitement when fainting, foaming at the mouth, call it should not be about 6 minutes after the mind clear, v. Headache severe , Vomit once, that is, emergency. Emergency blood pressure 200/120, mind Shangqing, pupils and other large, good response to light, soft neck, heart rate 72 times, law Qi, both lungs (-), abdominal soft, good limb activity. ECG shows sinus arrhythmia and U_ (v5 ~ v6) biphasic. To be diagnosed as essential hypertension and hypertensive encephalopathy, given intravenous injection of 25% magnesium sulfate 20ml,