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目的:分析报告10例原发性醛固酮增多症致脑梗死的诊治经过,以减少误诊。方法:对本院收治的10例原发性醛固酮增多症致脑梗死患者的临床资料进行回顾性分析。结果:原发性醛固酮增多症患者在患脑梗死之前均被诊断为原发性高血压病,通过临床表现及辅助检查明确诊断后,给予手术及药物治疗,血压控制良好。结论:对于高血压患者应该注意查找有无其他原因引起的继发性高血压,早期治疗使患者受益。
Objective: To analyze and report the diagnosis and treatment of cerebral infarction caused by 10 cases of primary aldosteronism to reduce misdiagnosis. Methods: The clinical data of 10 patients with cerebral infarction caused by primary aldosteronism were retrospectively analyzed. Results: Primary hyperaldosteronism was diagnosed as essential hypertension before cerebral infarction. After definite diagnosis by clinical manifestations and laboratory examinations, surgery and medication were given and blood pressure was well controlled. Conclusion: Patients with hypertension should pay attention to find out whether there are other causes of secondary hypertension, the early treatment of patients benefit.