醛固酮增多症与高血压临床诊治

Primary hyperaldosteronism and secondary hypertension

原发性醛固酮增多症(简称原醛)是继发性高血压中最常见的形式之一,其高血压病程多较长,为中等程度的增高,血管并发症的发生率较高。原醛患者多同时合并低血钾、碱中毒、低血钙、糖耐量异常等。对高血压患者进行血浆醛固酮与肾素比值(ARR)筛查,将大大增加原醛的诊断和治疗效果。醛固酮增多症治疗包括手术、药物和介入治疗。

Primary hyperaldosteronism （ PHA ） is one of the most common reasons of secondary hypertension, which usually has long history, moderate hypertension and relative high incident of vascular complications. Its other complications include hypokalemia, alkalosis, hypocalcemia and IGT et al. Screening hypertension patients using plasma aldosteronism/renin rate will greatly increase the diagnosis and improve the treatment. Treatments of PHA include surgery, medicine and intervene.