原发性醛固酮增多症106例患者回顾性分析
被引量:3
摘要
原发性醛固酮增多症(primary aldosteronism,PA)指肾上腺腺瘤、肾上腺皮质增生等几种病理改变所造成的高血压伴有低钾血症、低血浆肾素活性和高血浆醛固酮水平。是继发性高血压的常见病因。该病多见于成年人。在高血压中发病率为3%~32%,平均为高血压患者的10%[1]。
参考文献10
-
1Mulatero P,Stowasser M,Loh KC,et al.Increased diagnosisof primary aldosteronism,including surgically correctableforms,in centers from five continents.J Clin EndoerinolMetab,2004,89(3):1045-1050.
-
2KaPlan NM.The current epidemic of primry aldosteronism:causes and consequences.J Hyertension,2004,22:863-869.
-
3Mosso L,Carvajal C,Gonzalez A,et al.Primary aldosteron-ism and hypertensive disease.Hypertension,2003,42(2):161-165.
-
4Calhoun DA,Nishizaka MK,Zaman MA,et al.Hyperaldoste-ronism among black and white subjects with resistant hyper-tension.Hypertension,2002,40:892-896.
-
5Montori VM,Young WF.Use of plasma aldosterone concen-tration-to-plasma rennin activity ratio as a screening test forprimary aldosteronism.A systematic review of the literature.Endocrinol Metab Clin North Am,2002,31:619-632.
-
6Rossi E,Regolisti G,Negro A,et al.High prevalence of pri-mary aldosteronism using postcaptopril plasma aldosterone torennin ratio as a screening test among Italian hypertensives.Am J Hypertens,2002,15:896-902.
-
7Mulatero P,Stowasser M,Loh KC,et al.Increased diagnosisof primary aldosteronism,including surgically correctableforms,in centers from five continents.J CIin EndocrinolMetab,2004,89:1045-1050.
-
8Murayama T.Relationship between postoperation blood pres-sure change and renal pathophysiology in primary aldosteron-ism.Urol Int,1997,49:264-268.
-
9杨建梅,郭晓蕙,董爱梅,田曙光.原发性醛固酮增多症的临床特点[J].临床荟萃,2005,20(24):1381-1384. 被引量:21
-
10Stowasser M,Gordon RD.The aldosterone-renin ratio inscreening of prirmary a|dsoteronism.Endocirnologist,2004,14:267-276.
二级参考文献11
-
1刘雪娜,周宪梁,刘亚欣,顾晴,陈改玲,孙晓昕,丰雷,惠汝太.原发性醛固酮增多症合并高血浆肾素活性的临床病例分析[J].中国分子心脏病学杂志,2004,4(4):233-234. 被引量:1
-
2MULATERO P,STOWASSER M, LOH K C.Increased diagnosis of primary aldosteronism,including surgically correctable forms,in centers from five continents[J]. J Clin Endocrinol Metab,2004,89(3):1045-1050.
-
3YOUNG W F Jr.Minireview:primary aldosteronism-changing concepts in diagnosis and treatment[J]. Endocrinology,2003,144(6):2208-2213.
-
4STRUTHERS A D. Aldosterone-induced vasculopathy[J]. Molecular and Cellular Endocrinology,2004,217(1-2):239-241.
-
5ROSSI G P, DI B V, GANZAROLI C, et al. Excess aldosterone is associated with alterations of myocardial texture in primary aldosteronism[J]. Hypertension,2002,40(1):23-27.
-
6MILLIEZ P,GIRERD X,PLOUIN P F.Evidence for an increased rate of cardiovascular events in patients with primary aldosteronism[J]. J Am Coll Cardiol,2005,45(8):1243-1248.
-
7STOWASSER M, GORDON R D. Primary aldosteronism-careful investigation is essential and rewarding[J]. Molecular and Cellular Endocrinology,2004,217(1-2):33-39.
-
8STOWASSER M,GORDON R D,GUNASEKERA T G,et al. High rate of detection of primary aldosteronism, including surgically treatable forms, after ‘non-selective' screening of hypertensive patients[J]. J Hypertens,2003,21(11):2149-2157.
-
9CONN J W, COHEN E L,ROVNER D R,et al. Normokalemic primary aldosteronism. A detectable cause of curable “essential” hypertension[J]. JAMA,1965,19(193):200-206.
-
10ROSSI E, REGOLISTI G, NEGRO A, et al. High prevalence of primary aldosteronism using postcaptopril plasma aldosterone to renin ratio as a screening test among Italian hypertensives[J]. Am J Hypertens,2002,15(10 Pt 1):896-902.
共引文献20
-
1杨光明.原发性醛固酮增多症的诊断和治疗[J].内蒙古中医药,2009(2):93-95. 被引量:1
-
2马笑堃,秦贵军,汪丽,张颖辉,岳欣阁.原发性醛固酮增多症38例临床分析[J].郑州大学学报(医学版),2009,44(2):453-454. 被引量:1
-
3杨建梅,郭晓蕙.原发性醛固酮增多症的诊治进展[J].临床荟萃,2006,21(8):595-598. 被引量:1
-
4唐平,刘丹.原发性醛固酮增多症52例临床分析[J].河北医药,2007,29(4):311-312.
-
5雷小妹,王丹.原发性醛固酮增多症伴肌酶显著升高一例报告[J].中国医师杂志,2007,9(6):863-863. 被引量:1
-
6曲丽峰.原发性醛固酮增多症误诊3例及筛选方法评价[J].临床荟萃,2007,22(14).
-
7黎英荣,潘海林,苏宏业,夏宁,肖常青.原发性醛固酮增多症高血压80例临床特点分析[J].广西医学,2008,30(7):1061-1062. 被引量:5
-
8刘超,王伯余.原发性醛固酮增多症诊疗进展[J].人民军医,2009,52(2):123-124. 被引量:4
-
9张金成,李新胜,唐诗玲.原发性醛固酮增多症26例诊治分析[J].临床误诊误治,2010,23(S2):57-58.
-
10龚燕平,母义明.醛固酮增多症与高血压临床诊治[J].中国实用内科杂志,2009,29(10):884-886. 被引量:3
同被引文献16
-
1于晓静,金文胜.肾上腺腺瘤型醛固酮增多症75例临床分析[J].中国厂矿医学,2005,18(4):293-294. 被引量:2
-
2谢敏.Conn腺瘤的CT诊断[J].齐齐哈尔医学院学报,2006,27(11):1314-1314. 被引量:1
-
3田伟,肖剑秋,胡荣慧,卓大敏.原发性肾上腺皮质癌的CT诊断[J].中华放射学杂志,1997,31(9):625-625. 被引量:48
-
4Nishimura M,Uzu T,Fujii T. Cardiovascular complications in patients with primary aldosteronism[J].American Journal of Kidney Diseases,1999.261-263.
-
5张雪林.医学影像学[M]北京:人民卫生出版社,2001311.
-
6邓学志.Conn腺瘤的CT诊断[J].现代医药卫生,2010,26(12):1860-1861. 被引量:1
-
7李南方,李红建,王红梅,王新玲,祖菲亚,张德莲,常桂娟,努尔古丽,周克明,骆琴,王梦卉,胡君丽,王磊.330例原发性醛固酮增多症患者的临床分析[J].中华内分泌代谢杂志,2011,27(9):752-754. 被引量:31
-
8高兴成,胡鹏,茹伯战.原发性醛固酮增多症临床诊疗分析(附63例报告)[J].临床泌尿外科杂志,2012,27(5):357-359. 被引量:3
-
9赵家胜,李红,李颖,刘琦,桑晓靖,王卫庆,宁光.难治性高血压患者中原发性醛固酮增多症的筛查[J].上海医学,2012,35(5):407-411. 被引量:13
-
10孙宗琼,岳建国,谈旭东,陈林,江泓.不典型肾上腺腺瘤的CT表现[J].临床放射学杂志,2012,31(9):1294-1297. 被引量:8
二级引证文献3
-
1白起君,黄捷,周晓亚,李艳,秦立.清眩补肾汤治疗原发性高血压疗效及对患者肾素-血管紧张素-醛固酮影响[J].陕西中医,2019,40(3):311-314. 被引量:6
-
2李学岐.清眩补肾汤治疗原发性高血压的疗效[J].中国医药指南,2021,19(23):81-82.
-
3陶雅红,周建忠,左敏静.左侧肾上腺肿物——请分析诊断[J].临床放射学杂志,2023,42(2):175-175.
-
1王树林,陶艳炳.原发性醛固酮增多症70例临床分析[J].咸宁学院学报(医学版),2010,24(1):30-31.
-
2张艳敏,努尔古丽,李南方,王新玲.血浆醛固酮和肾素活性对原发性醛固酮增多症的诊断意义[J].临床心血管病杂志,2004,20(3):182-182. 被引量:2
-
3李月明,裴顺祥.特发性醛固酮增多症的诊治进展[J].临床误诊误治,2012,25(9):97-100. 被引量:4
-
4王伟民,龙雯晴,李耿蔚,杨晖.Primary aldosteronism in pregnancy:review of cases[J].Chinese Medical Journal,1999(6):94-95.
-
5胡学俊,方存明,杨辉,程久佩.原发性醛固酮增多症2例误诊分析[J].中国医学创新,2012,9(36):161-162.
-
6张金成,李新胜,唐诗玲.原发性醛固酮增多症26例诊治分析[J].临床误诊误治,2010,23(S2):57-58.
-
7王新玲,张德莲,李南方,马兰,曾健,祖菲亚,常桂娟,努尔古丽,周克明,王国亮.原发性醛固酮增多症与原发性高血压患者颈动脉内中膜厚度的比较[J].医学研究杂志,2012,41(12):55-57. 被引量:1
-
8史超,李南方,李红建,张德莲,常桂娟.原发性醛固酮增多症患者颈动脉粥样硬化危险因素分析[J].中华实用诊断与治疗杂志,2013,27(9):933-934. 被引量:6
-
9姜兆顺,张胜兰,晏辉,张秀英.原发性醛固酮增多症误诊2例报告[J].中国综合临床,2004,20(9):850-850. 被引量:1
-
10郑华.原发性醛固酮增多症的诊疗进展[J].临床泌尿外科杂志,2014,29(9):841-845. 被引量:6