患者女,36岁,因进行性肥胖16年,高血压9年于1989年2月24日入院。患者自幼食欲好,喜肉食,从20岁起渐肥胖,体重由49kg增至92kg(经常感乏力、气短、胸闷)。27岁生第一胎产时子痫,以后血压持续增高,间断服降压药,血压基本可维持正常。家族中其母肥胖,有高血压史。体检:发育正常,肥胖体型。身高1.60m,体重92kg。脂肪分布均匀。无多毛、紫纹、多血质,余无阳性体征。肾区无叩痛。 Female, 36 years old, 16 years of progressive obesity and 9 years of hypertension on February 24, 1989. Patients with good appetite since childhood, like meat, from the age of 20 obesity, body weight increased from 49kg to 92kg (often feel weak, shortness of breath, chest tightness). 27-year-old first child birth eclampsia, blood pressure continued to rise, intermittent service antihypertensive drugs, blood pressure can be maintained in normal. The family is obese and has a history of hypertension. Physical examination: normal development, obese body shape. Height 1.60m, weight 92kg. Fat evenly distributed. No hirsutism, purple pattern, more blood, more than no positive signs. No pain in the kidney area.