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目的探讨原发性醛固酮增多症(PA)的临床特点,以提高对PA的诊治水平。方法分析总结18例PA患者的临床资料。结果PA的临床表现以高血压为主,其次为低血钾,B超诊断敏感性低,13例醛固酮瘤患者经手术治愈,3例醛固酮病患者及2例特发性醛固酮增多症患者经药物治疗病情稳定。结论手术治疗可使醛固酮瘤患者得到治愈,特发性醛固酮增多症药物治疗效果良好,轻、中年高血压病人应严格进行PA的相关检查,防止误诊。
Objective To investigate the clinical features of primary aldosteronism (PA) in order to improve the diagnosis and treatment of PA. Methods The clinical data of 18 patients with PA were analyzed and summarized. Results The clinical manifestations of PA were mainly hypertension, followed by hypokalemia and low diagnostic sensitivity of B-ultrasound. Thirteen patients with aldosterone were surgically cured. Three patients with aldosterone and two patients with idiopathic aldosteronism were treated with drugs Treatment of stable condition. Conclusion Surgical treatment of aldosteronoma patients can be cured, idiopathic aldosteronism drug treatment is good, light, middle-aged hypertensive patients should be strictly related to the PA check to prevent misdiagnosis.