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一例48岁男病人,因烦躁不安,意识不清来急诊。当天早晨病人曾饮酒并吃奶酪,之后即出现奇异动作、严重头疼、眩晕和视觉模糊。但定向力尚正常,来院时测血压37.24/17.29kPa,护士立即进行心电图和自动血压计连续监测并通知医生。此病人因轻度高血压已每天服用双氢克尿塞25mg,又因有抑郁症状服单胺氧化酶抑制剂(MAOI)和异卡波肼(闷可乐;Isocarboyazid)2次/d。病人饮酒和吃奶酪后,血压显著升高又出现奇异行为,这是由于吃了含有酪胺的食物与MAOI相互作用后导致高血压危象。
A 48-year-old male patient was in urgent need of emergency because of irritability and unconsciousness. On the morning of the morning, the patient had consumed alcohol and eaten cheese, after which strange movements, severe headaches, dizziness and blurred vision were observed. But the orientation force is still normal, when the hospital to measure blood pressure 37.24 / 17.29kPa, nurses immediately ECG and automatic sphygmomanometer continuous monitoring and inform the doctor. This patient has been taking hydrochlorothiazide 25 mg daily for mild to moderate hypertension and 2 times daily for MAOI and Isocarboyazid because of depressive symptoms. After drinking alcohol and eating cheese, the blood pressure was significantly increased and strange behavior was also observed. This was due to the hypertensive crisis that resulted from the interaction of food containing tyramine with MAOI.