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患者女,50岁,诊断:慢性肾功能衰竭,CKD5期,肾性高血压,维持性血液透析(每周透析2次,每次透析4.5h),患者开始口服硝苯地平缓释片20mg,每日3次,酒石酸美托洛尔25mg,每日2次,盐酸特拉唑嗪4mg,每日1次治疗,血压控制不理想,后在严密监测血钾及规律血液透析情况下,加用替米沙坦40mg,每日1次,1周后血压逐渐下降至140/90mmHg以下,患者无任何不适反应,于用药12
Patients, 50 years old, diagnosed: chronic renal failure, CKD5, renal hypertension, maintenance hemodialysis (dialysis twice a week, each dialysis 4.5h), patients started oral nifedipine sustained-release tablets 20mg, 3 times a day, metoprolol tartrate 25mg, 2 times a day, terazosin hydrochloride 4mg, 1 day treatment, blood pressure control is not ideal, followed by close monitoring of serum potassium and regular hemodialysis cases, plus Telmisartan 40mg, 1 day, 1 week after the blood pressure gradually decreased to 140 / 90mmHg the following, the patient without any discomfort, medication 12