本文根据164例原醛症回顾性研究的结果,对原醛的诊断进行了探讨,指出高血压伴低血钾的患者应考虑此症的可能,尿、血、唾液醛固酮和血浆PRA、AT-Ⅱ测定及激发试验具诊断价值,同时讨论了安体舒通、腹膜后充气造影、放射性碘化胆固醇肾上腺扫描、B型超声波检查对原醛症的定性、定位诊断意义。后三者对醛固酮瘤的诊断正确率分别为24.7%、91.2％、75%。 Based on the results of a retrospective study of 164 cases of primary aldehydes, the diagnosis of primary aldehydes was discussed. It was pointed out that the patients with hypertension and hypokalemia should consider the possibility of this disease, urine, blood, salivary aldosterone and plasma PRA, AT- II determination and provocation test have diagnostic value. At the same time, it discusses the qualitative and locational diagnostic significance of spironolactone, retroperitoneal inflation imaging, radioactive iodinated cholesterol adrenal scan, and B-ultrasonic examination. The diagnostic accuracy of the latter three to aldosteronoma was 24.7%, 91.2%, and 75%, respectively.