常见内分泌高血压的筛查要点

Key points for screening common endocrine hypertensions

内分泌高血压(endocrine hypertension)指内分泌疾病导致的继发性高血压,部分可被治愈或有特异性治疗措施。除表现为高血压外,常无特殊临床表现,容易被漏诊、误诊。为便于理解及鉴别诊断,本文按发病机制对常见几类内分泌高血压依次阐述。内容主要包括高血压发生机制、筛查重点人群、筛查方式、注意事项。本文参考国内外指南、共识及近期文献,旨在提高临床医生对内分泌高血压的识别能力。

Endocrine hypertension is a secondary hypertension caused by endocrine diseases.Some can be cured,and the other has specific treatments.In addition to hypertension,it often has no special clinical manifestations and is easy to be misdiagnosed.For better understanding and distinguishing,this review will elaborate on several common types of endocrine hypertension according to their pathogenesis.The contents included pathogenesis,candidate and method for screening,and its relative precautions.Based on domestic and foreign guidelines,consensuses and recent literatures,this review aims to improve the ability of clinicians to recognize endocrine hypertension.