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本文报告一例23岁男性患者,因高血压入院,3年前发现血压升高,10个月前因高血压第一次入院,当时血中皮质醇日夜曲线正常,空腹血糖为94毫克％。本次入院检查有明显的皮质醇增多症表现,血压为170/110毫米汞柱,24小时尿17羟皮质类固醇(17-OHCS)排量为49.8毫克/每克肌酐,17酮类固醇(17-KS)为32.5毫克/24小时,小剂量地塞米松抑制试验尿17-OHCS不被抑制,试验第二日17-OHCS为
This article reports a 23-year-old male hospitalized for hypertension who was found to have elevated blood pressure three years earlier and hospitalized for hypertension for the first time 10 months earlier when blood cortisol curves were normal overnight with a fasting blood glucose level of 94 mg%. The hospital admission examination showed significant signs of increased cortisol, blood pressure was 170/110 mm Hg, 24-hour urinary 17 hydroxycorticosteroids (17-OHCS) displacement of 49.8 mg / kg creatinine, 17 ketones (17- KS) was 32.5 mg / 24 hours, low-dose dexamethasone inhibition test urinary 17-OHCS was not inhibited, the second day of the test 17-OHCS