| 46例腺瘤型原发性醛固酮增多症的临床分析 |
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| 引用本文： | 李红建,李南方,欧阳玮琎,成秋燕,周克明,祖菲亚,王新玲,张德莲,常桂娟.46例腺瘤型原发性醛固酮增多症的临床分析[J].新疆医学,2011,41(3):8-10. |
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| 作者姓名： | 李红建 李南方 欧阳玮琎 成秋燕 周克明 祖菲亚 王新玲 张德莲 常桂娟 |
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| 作者单位： | 新疆维吾尔自治区人民医院高血压中心高血压研究所,新疆乌鲁木齐,830001 |
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| 摘 要： | 目的探讨腺瘤型原发性醛固酮增多症的临床特点。方法回顾性分析46例经手术病理证实的腺瘤型原发性醛固酮增多症患者的临床资料。结果所有患者均伴有高血压，以高血压为首发症状者43例（93．48％），其中1、2、3级高血压分别为2．17％、17．39％、80．44％；伴肌无力、乏力或肢端麻木者23．52％。平均血钾浓度为（3．37±0．38）mmol／L，其中低钾血症者26例（56．52％）；低血浆肾素活性者37例（80．43％），血浆醛固酮水平增高者38例（82．62％）；肾上腺CT扫描对腺瘤型原发性醛固酮增多症的诊断阳性率为93．48％。结论腺瘤型原发性醛固酮增多症主要表现为重度高血压伴低肾素活性及高醛固酮血症，低钾血症的发生率少于60％；肾上腺CT扫描对腺瘤型原发性醛固酮增多症的诊断有重要价值。
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| 关 键 词： | 原发性醛固酮增多症 腺瘤 醛固酮 |
Clinical analysis of 46 cases with aldosterone -producing adenoma |
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| LI Hong-jian,LI Nan-fang,OUYANG Wei-jin,CHENG Qiu-yan,ZHOU Ke-ming,Zufeiya,WANG Xin-ling,ZHANG De-lian,CHANG Gui-juan.Clinical analysis of 46 cases with aldosterone -producing adenoma[J].Xinjiang Medical Journal,2011,41(3):8-10. |
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| Authors: | LI Hong-jian LI Nan-fang OUYANG Wei-jin CHENG Qiu-yan ZHOU Ke-ming Zufeiya WANG Xin-ling ZHANG De-lian CHANG Gui-juan |
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| Institution: | LI Hong-jian,LI Nan-fang,OUYANG Wei-jin,CHENG Qiu-yan,ZHOU Ke-ming,Zufeiya,WANG Xin-ling,ZHANG De-lian,CHANG Gui-juan.The Department of Hypertension of the People's Hospital of Xinjiang Uygur Autonomous Region.The Center of Diagnosis,Treatment and Research of Hypertension in Xinjiang,Urumqi,Xinjiang 830001,China. |
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| Abstract: | Objective To investigate the clinical characteristics of patients with aldosterone-producing adenoma(APA).Methods The clinical data of46 cases with APAwho were confirmed by postoperative pathological diagnose were analyzed retrospectively.Results All cases had hypertension and hypertension suffered as the primary symptom in 93.48% patients.The prevalence of 1,2 and 3 stage hypertension in these subjects were 2.17%,17.39% and80.44%,respectively.23.52% of patients had weakness or periodic paralysis.The averag... |
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| Keywords: | Primary aldosteronism adenoma aldosterone |
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