继发性高血压占高血压总数的5%左右,其中又以肾实质性高血压、肾血管性高血压、原发性醛固酮增多症和嗜铬细胞瘤为多见,因各自有其特征性的临床表现和实验室检查方法,临床医生对此不陌生。而先天性主动脉缩窄因临床较少见,故易被忽视[1]。1临床资料患者,女性,19岁,因发现血压升高12年就诊。患者7岁时首次发现血压升高,当时血压为160/90mmHg(1mmHg=0.133kPa),曾到多家医院就诊,诊断为 Secondary hypertension accounts for about 5% of the total number of high blood pressure, of which renal parenchymal hypertension, renovascular hypertension, primary aldosteronism and pheochromocytoma are more common, because each has its own characteristic Clinical manifestations and laboratory tests, clinicians are no stranger to this. Congenital aortic constriction is less common in clinical, it is easy to be ignored [1]. 1 clinical data, female, 19 years old, because of the discovery of elevated blood pressure 12 years treatment. The patient was the first to have raised blood pressure at the age of 7, when blood pressure was 160/90 mm Hg (1 mmHg = 0.133 kPa) and was seen at several hospitals, diagnosed as