血压正常的原发性醛固酮增多症临诊应对  

Approach to a normotensive patient with primary aldosteronism

作　　者：宋颖[1] 何文雯[1] 冯正平[1] 唐紫薇[1] 李启富[1] 游泽莉[2] 谢小华[2] 杨成会[2] Song Ying;He Wenwen;Feng Zhengping;Tang Ziwei;Li Qifu;You Zeli;Xie Xiaohua;Yang Chenghui(Department of Endocrinology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Endocrinology,Liangshan Yi Autonomous Prefecture First People’s Hospital,Xichang 615000,China)

机构地区：[1]重庆医科大学附属第一医院内分泌科,重庆400016 [2]四川省凉山彝族自治州第一人民医院内分泌代谢科,西昌615000

出　　处：《中华内分泌外科杂志》2023年第3期376-377,共2页Chinese Journal of Endocrine Surgery

基　　金：国家自然科学基金(82000744);重庆医科大学智慧医学项目(ZHYX202113)。

摘　　要：原发性醛固酮增多症(primary aldosteronism,PA)的典型表现为高血压伴或不伴低血钾,高醛固酮、低肾素。而血压正常的PA临床较少见。本文报道1例以"肾上腺意外瘤"为主诉,证实为血压、血钾均正常的亚临床PA患者的诊治经过,并分析临床特点及诊治策略,以期为临床医生提供一些借鉴。The typical manifestations of primary aldosteronism(PA)are hypertension with or without hypokalemia,high aldosterone,and low renal level.However,PA with normal blood pressure is rare in clinical practice.This article reported the diagnosis and treatment of a patient with subclinical PA,admitted for"adrenal accidental tumor"with normal blood pressure and serum potassium.We summarized and analyzed the clinical characteristics and treatment strategies,in order to provide some reference for clinicians.

关 键 词：原发性醛固酮增多症 血压正常 

分 类 号：R586.24[医药卫生—内分泌]