摘要
目的:通过回顾58例确诊为原发性醛固酮增多症(PA)患者的主要症状,提高对该病的认识;并评价这些症状对PA的诊断意义。方法:回顾性分析58例PA患者的主要症状包括高血压、低钾血症等;总结其在这些患者中的发生情况。结果:全部患者伴有高血压,以高血压为首发症状的患者占96.6%,其中1级高血压12例(20.7%),2级33例(56.9%),3级13例(22.4%);伴肌无力、乏力或肌麻痹的占53.4%。48例(83%)有低血钾,平均血钾浓度为(2.84±0.49)mmol/L,24h尿钾排泄[(51.90±38.0)mmol/L],增高者(>25 mmol/24h)占95%;血钠增高(>145 mmol/L)者占48.3%。结论:原发性醛固酮增多症患者一般均有高血压并低血钾,对于有高血压并低血钾者应高度怀疑原发性醛固酮增多症,作进一步特殊检查,早日确诊。
Objective： To increase the knowledge on diagnosis of primary aldosteronism （PA）. Methods： The data of 58 patients with PA were studied retrospectively. Results： （1） All cases had hypertension and hypertension suffered as the primary symptom in 96.5% patients, 20. 7%, 56.9% and 22.4% of patients were at stage 1, 2 and 3 of hypertension respectively. The 53.4% of patients had weakness or periodic paralysis; （2） The 48 patients （83%） had hypokalemia with the mean of （2.84±0.49） mmol/L and 95.0% had relatively high urine potassium excretion in 24h （〉25 mmol/ 24h） with the mean of （51.9±38. 0） mmol/L. The 48.3% of patients had hypernatremia （〉145mmol/L）. Conclusion： The hypertension combine hypokalemia are common in aldosteronism patients , so should pay much attention to it, and to do further examine for early diagnosis
出处
《心血管康复医学杂志》
CAS
2010年第4期419-421,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
