| 原发性醛固酮增多症功能诊断试验可靠性分析 |
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| 引用本文： | 金苗苗,母义明. 原发性醛固酮增多症功能诊断试验可靠性分析[J]. 国际内分泌代谢杂志, 2007, 27(2): 73-76 |
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| 作者姓名： | 金苗苗 母义明 |
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| 作者单位： | 100853,北京,解放军总医院内分泌科 |
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| 摘 要： | 原发性醛固酮增多症是最常见的导致继发性高血压的病因之一，在高血压人群中发病率高达10％-18％。在原发性醛固酮增多症的诊断中，功能诊断非常重要。目前临床常用的功能试验有血醛固酮／肾素比值的测定、静脉盐水滴注抑制试验、24h尿醛固酮及其代谢物的测定以及开博通试验等。本文将对此类功能试验的诊断可靠性作一综述。
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| 关 键 词： | 原发性醛固酮增多症 醛固酮／肾素比值 盐水滴注试验 尿醛固酮代谢物 开博通试验 |
| 修稿时间： | 2006-12-05 |
Analysis of functional tests in the diagnosis of primary aldosteronism |
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| JIN Miao-miao,MU Yi-ming. Analysis of functional tests in the diagnosis of primary aldosteronism[J]. International JOurnal of Endocrinology and Metabolism, 2007, 27(2): 73-76 |
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| Authors: | JIN Miao-miao MU Yi-ming |
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| Affiliation: | Department of Endocrinology, Chinese PIA General Hospital, Beijing 100853, China |
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| Abstract: | Primary aldosteronism is one of the commonest form of secondary hypertension with an approximate prevalence of 10% - 18% in the patients with hypertension. Functional tests including plasma aldosterone and renin ratio, the saline infusion test, 24 h urinary aldosterone metabolites and eaptopril suppression test are essential for making diagnosis of primary aldosteronism. This paper reviews the reliability of these functional tests. |
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| Keywords: | Primary. aldosteronism Aldosterone/renin ratio Saline infusion test Urinary aldosterone metabolites Captopril suppression test |
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