内分泌疾病致症状性高血压的误诊分析

Misdiagnosis Analysis of Symptomatic Hypertension Caused by Endocrine Disease

目的分析内分泌疾病致症状性高血压的误诊原因。方法回顾性分析2013年2月~2015年2月我院收治的38例分泌疾病致症状性高血压的误诊患者的临床资料,总结分析误诊原因。结果本次研究的38例分泌疾病致症状性高血压的误诊患者均确诊为内分泌疾病。其中库欣综合征患者3例（7.89%）,原发性醛固酮增多症患者19例（50.00%）;嗜络细胞瘤患者7例（18.42%）,甲亢患者5例（13.16%）,肾素分泌瘤患者4例（10.50%）。结论对于高血压患者需根据其病因进行诊断,对于内分泌致高血压患者一般可根治,因此需提高临床诊断率,避免延误患者最佳治疗时机。

Objective To analyze the symptoms of symptomatic hypertension caused by endocrine disease.Methods A retrospective analysis of 38 cases of ilness from February 2013 to February 2015 in our hospital, and analyzed the symptoms of endocrine disease caused by hypertension misdiagnosis.Results The study of 38 cases were diagnosed with endocrine diseases. Three patients （7.89%） were Cushing syndrome; primary aldosteronism in 19 cases （50.00%）;network cel tumors in 7 cases （18.42%）, patients with hyperthyroidism 5 cases （13.16%）, renin secreting tumors were 4 cases （10.5%）. Conclusion For hypertensive patients need to be diagnosed by its cause,hypertension in patients with endocrine general can cure, and therefore need to improve the diagnosis rate of patients with the best treatment to avoid delay.