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作者追溯原发性醛固酮增多症之历史及目前所确认的四种类型之后指出:由于只有单侧肾上腺腺瘤可获得满意的手术疗效,因而从大量的高血压病人中识别原发性醛固酮增多症(以下简称原醛症)并进而由其他三种类型中鉴别确诊腺瘤型,就显得十分必要。本文应用各种检诊方法,结合33例经验,总结各种方法的诊断及鉴别诊断上的意义。将高血压病人的引起利尿性低血钾的药物停服,三周后如其血钾仍低于3.5毫当量/L,24小时尿钾量超过30毫当量,即行激发血浆肾素活性测定,其血浆含量低于2毫微克/毫升/小时者,则进行以下检查。
After tracing the history of primary aldosteronism and the four types currently identified, the authors point out that since only unilateral adrenal adenomas can achieve satisfactory surgical outcomes, primary aldosteronism is identified from a large number of hypertensive patients. (Hereinafter referred to as primary aldehyde disease) and then to identify the confirmed adenoma type from the other three types, it is very necessary. This article applies a variety of testing methods, combined with 33 cases of experience, summed up the significance of various methods of diagnosis and differential diagnosis. Diuretic hypokalemic drug was stopped in hypertensive patients. After three weeks if serum potassium is still less than 3.5 milliequivalents/L and 24-hour urinary potassium exceeds 30 milliequivalents, the plasma renin activity was measured. If the plasma level is less than 2 ng/ml/hr, the following examination is performed.