原发性醛固酮增多症致心脏骤停(附两例临床分析)  

Cardiac Arrest Induced by Primary Aldosteronism

作　　者：孙根义[1] 唐鸿漪 倪士珍 周福兴 丛洪良[1] 

机构地区：[1]天津市第二中心医院,300120

出　　处：《天津医药》1995年第3期165-167,共3页Tianjin Medical Journal

摘　　要：报告两例长时间误诊的原发性醛固酮增多症所致反复发作心脏骤停。原发性醛固酮增多症并非罕见。对其所致室性心律失常的机制进行探讨,分析误诊原因可能与醛固酮的昼夜分泌规律等何关。对反复发作室性心律失常伴高血压、低血钾者,应注意排除原发性醛固酮增多症,必要时应做动态心电图监测。Two cases of recurrent cardiac arrest induced hy primary aldosteronism were misdiagnosed for long time- The morhidity of primary aldosteronism is not very low ,but the ventricular arrhythmia induced by it was reported less. The causes of misdiagnosis may concerned with the regularity of secretion of aldosterone in day and night or other. In cases of recurrent ventricular arrhythmia complicated with hypertension and hypokp.lemia .the diagnosis of primary aldosteronism should he considered. In case of necessity .the ambulatory ECG should be used for monitoring.

关 键 词：原发性 醛固酮增多症 心脏骤停 低钾血症 

分 类 号：R586.240.6[医药卫生—内分泌]