原发性醛固酮增多症的临床分析

The Clinical Analysis in Primary Aldosteromism

本文对10例原发性醛固酮增多症的临床分析中,肾上腺皮质单侧腺瘤8例,增生1例。一侧腺瘤合并对侧增生1例。10例均有高血压、低血钾、肾上腺定位检查阳性所见,24小时尿钾(8/10)增多、血浆醛固酮水平(6/6)增高,血浆肾素活性(4/6)受抑制。作者还重点对本症的早期诊断及治疗方法的选择进行了探讨。

The present paper reports the clinical analysis of 10 cases with primary aldosteromism. 8 cases of unilateral adremal adenona in cortex. 1 case of adrenal hyperplasia and 1 ciase of adenoma assocated with, hyperplasia in opposite side. All of patients had hypertension hypokalemia and adrenal located examination show positve findings. 24 hours urine kalium (8/10) and plasma aldosterone level (6/6) was increased, but plasma renin activity was suppressed. This paper discussed how to make early diagnosis and choice of treatment in primary aldosteromism.