壹生资讯-『Day3』这例高血压为何难治？查体结果透露了什么？

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『Day3』这例高血压为何难治？查体结果透露了什么？

2020-08-05作者：论坛报心血管活动

高血压病例

前情回顾：

『Day1』这例高血压为何难治？如果诊治前有一段“冷静期”……
『Day2』看了这个病人的资料，陈源源教授想……

体格检查

右上肢血压85/62 mmHg，左上肢血压测不出。右下肢血压测不出，左下肢血压200/110 mmHg。

意识清楚，活动自如，对答清晰。满月脸，水牛背，颈肩部有痤疮。全身淋巴结未触及增大。胸部正中可见一长约20 cm纵向手术瘢痕。双肺呼吸音清，未闻及干，湿哕音。心界向左下扩大，心率88次/分，心律整齐，心音低钝，未闻及额外心音及病理性杂音，未闻心包摩擦音。腹平软，右下腹可见一长约10 cm纵向手术瘢痕，全腹无压痛及反跳痛，肝、脾肋下未触及，肠鸣音正常。

双下肢轻度压凹性水肿。右足背动脉未触及，左足背动脉搏动良好。

查体结果透露了什么？请投票作出你的思考和选择：

（明日公布陈源源教授对查体结果的分析，敬请期待！）

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