原发性醛固酮增多症的诊断与治疗  

Diagnosis and treatment of primary aldosteronism

作　　者：龚伟[1,2] 谢红浪[3] 

机构地区：[1]上海华山医院内分泌科,上海200040 [2]上海复旦大学内分泌研究所 [3]南京军区南京总医院全军肾脏病研究所

出　　处：《肾脏病与透析肾移植杂志》2012年第5期460-465,共6页Chinese Journal of Nephrology,Dialysis & Transplantation

摘　　要：原发性醛固酮增多症(原醛症)是继发性高血压最常见的病因之一,以往通常只对低血钾的高血压患者进行原醛相关筛查。近期研究表明原醛症患者中仅25%可见低血钾表现,目前新发高血压患者中原醛症患者的发生率可达10%～15%。本文就原醛症的诊断与治疗做一综述。Primary aldosteronism is the most common cause of secondary hypertension. In the past, screening for primary aldosteronism was offered only in patients with hypertension associated with hypokalemia. Recent studies showed that hypokalemia was examined in only 25% of the patients with primary aldosteronism, which has increased the prevalence of primary aldosteronism to 10 15% of all cases with new onset hypertension. The article reviews the diagnosis and treatment of primary aldosteronism.

关 键 词：继发性高血压 原发性高醛固酮血症 肾上腺皮质 

分 类 号：R586.24[医药卫生—内分泌]