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病例1,男,58岁,头昏头痛20余年,血压190/120mmHg,心电图提示左室肥厚,胸透提示主动脉弓稍加宽延长,左心室饱满。血脂正常,眼底除有轻度视网膜血管硬化外,余无特殊,眼压正常。尿常规、尿素氮肌酐均正常。诊断为高血压病(缓进型)。用口服心痛定10mg,1日4次。服药第6天当血压降至150/90mmHg时不明原因突然头痛加重,眼眶后胀痛,双目视物不清,以右眼明显。眼科检查,眼压右44.4mmHg,左30.8mmHg,睫状充血(+++),角膜呈玻璃状混浊,前房变浅。意见:急性充血性青光眼。立即停用心痛定,口服
Case 1, male, 58 years old, dizziness and headache for more than 20 years, blood pressure 190 / 120mmHg, ECG prompted left ventricular hypertrophy, chest X-ray showed aortic arch slightly widened to extend, left ventricular fullness. Normal blood lipids, retinal retinal sclerosis except in addition, I no special, normal intraocular pressure. Urinary routine, urea nitrogen creatinine were normal. Diagnosis of hypertension (slow type). Heartache with oral 10mg, on the 1st 4 times. The first 6 days when the blood pressure dropped to 150 / 90mmHg unexplained sudden headache increased, orbital pain, binocular vision is not clear to the right eye significantly. Eye examination, intraocular pressure right 44.4mmHg, left 30.8mmHg, ciliary hyperemia (+++), corneal glassy cloudy, anterior chamber shallower. Opinion: Acute congestive glaucoma. Stop using heartache immediately and orally