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患者,女,79岁,近3 d出现头晕,加重3 h,于2010年5月22日来我院就诊。患者既往患有高血压、冠心病,长期服用依那普利和美托洛尔,否认糖尿病史。体检:BP 150/110mmHg,腹软,神志清,语言表达正常,P60次/min,律齐,双下肢无水肿。诊断:①高血压;②室性早搏;③椎底动脉供血不足。治疗方案:①注射用磷酸川芎嗪100 mg加入250 ml 5%葡萄糖注射液中,ivd;②注射用血栓通(广西梧州制药集团,
Patients, female, 79 years old, dizziness nearly 3 d, aggravating 3 h, on May 22, 2010 came to our hospital. Patients with previous history of hypertension, coronary heart disease, long-term enalapril and metoprolol, denied the history of diabetes. Physical examination: BP 150 / 110mmHg, abdominal soft, clear mind, the language is normal, P60 times / min, law Qi, double lower extremity no edema. Diagnosis: ① hypertension; ② premature ventricular contractions; ③ vertebral artery insufficiency. Treatment options: ① injection of ligustrazine phosphate 100 mg added 250 ml 5% glucose injection, ivd; ② injection of thrombus (Guangxi Wuzhou Pharmaceutical Group,