内分泌性高血压的临床诊治分析

Diagnosis and Treatment of Endocrine Hypertension

目的:研究探讨内分泌性高血压的临床诊治思路。方法:选取笔者所在医院收治的内分泌性高血压患者61例,根据患者的体征、病史及实验室影像学检查,对内分泌性高血压的病因进行分析。结果:61例内分泌性高血压患者中,原发性醛固酮增多症44例,占72.13%;库欣综合征5例,占8.20%;嗜铬细胞瘤2例,占3.28%;甲状腺功能异常10例,占16.39%。结论:内分泌性高血压的发病机制复杂,临床治疗难度较大,因此应深入研究分析内分泌激素与高血压之间的关系,探讨其发病机制,为内分泌性高血压的预防和治疗提供依据。

Objective：To investigate the clinical diagnosis and treatment of endocrine hypertension.Method：61 patients with endocrine hypertens in our hospital were selected according to the cases,examination of the patient＇s symptoms,medical history and laboratory imaging,for the cause of endocr hypertension.Result：61 cases of endocrine hypertension patients,44 cases of primary aldosteronism,accounted for 72.13%.5 cases of Cushing syndrom accounted for 8.20%.2 cases of pheochromocytoma,accounted for 3.28%.10 cases of abnormal thyroid function,accounted for 16.39%.Conclusion：T pathogenesis of endocrine hypertension complicated,clinical treatment is difficult,so we should deeply study the relationship between endocrine hormone a hypertension,and investigate its pathogenesis,provide the basis for prevention and treatment of endocrine hypertension.